Abstract
Objective: Diagnostic cytology is one of the suitable modality for both non-neoplastic and neoplastic conditions of the lung. The aim is to use different cytological methods in the diagnosis of lesions of the respiratory tract. It has been generally acclaimed as one of the most successful application in the evaluation of patient with suspected lung malignancy.
Materials and Method: It was a prospective study of 127 cases. The present study was conducted in the department of pathology at a tertiary care hospital. It is a cross- sectional study, carried out on all patients who were admitted with lung diseases during a period of two years . Both male and female patients of all age group with the specified respiratory tract complaints like cough, breathlessness, hemoptysis, fever and chest pain were subjected to bronchoscopic examination.
Results: There were 81 males and 46 females. Male : female ratio was 1.76 : 1. The mean age was 50±16.14 years. The lowest age was 14 years and the oldest age was 85 years. It was included in both the non- neoplastic and neoplastic study groups. Sensitivity of BB was 91.8%; while that of BAL was only 59.2%. specificity of BB was 87.5% and that of BAL was 75%. Accuracy of BB was 90.7% while that of BAL was 63.1%.
Conclusions: Bronchial brushing is a much superior technique in the diagnosis of bronchopulmonary lesions. It demonstrates far better sensitivity, specificity and accuracy. Combination of various cytohistological techniques complements each other and enhances the diagnostic efficacy of various non- neoplastic and neoplastic lung diseases.
Keywords: cytology, lung, techniques.
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Corresponding Author
Dr Pragati Karmarkar
Department of Pathology, NKP Salve Institute of Medical Science and Research Centre, Nagpur, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.72
