Pathological Characteristics of Fiberoptic Bronchoscopy Procedure in Ulin General Hospital, Banjarmasin

I. Nurrasyidah, Muhammad Ajib Nuzula, I. Oktaviyanti, Desi Rahmawaty, Tenri Ashari Wanahari
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Abstract

Introduction:  Fiberoptic Bronchoscopy (FOB) has emerged into the method of choice for the detection of lung tumors due to its availability of Adequate cytological and histological samples in the form of broncho-alveolar lavage, bronchial brushings, and bronchial forceps biopsy. This study aims to identify characteristics of bronchoalveolar lavage, aspiration cytology, brushing cytology and forceps cytology of patients suspected with malignancy at the Ulin Regional Hospital in South Kalimantan. Methods: A cross-sectional study was carried out utilizing medical documentation of patients suspested lung cancer from March 2018 to March 2020. Data were grouped by gender, age, type of procedure, and cytology and histopathology findings. Results: The result showed that 67.5% of 117 patients who underwent bronchoscopy had positive results and common histological diagnosis The frequent histopathological conclusion was adenocarcinoma (45.6%) tailed by squamous cell carcinoma (40.55). Forceps bronchoscopy showed a greater positivity rate (75.0%) than bronchoscopy without forceps (63.6%), we also found that by combining BAL and brushing and forceps biopsy, the detection rate of lung malignancy increased to 85.7%, but no correlation between the type of procedure and the likelihood of malignancy was discovered. Conclusions: Forceps bronchoscopy showed a greater positivity rate than bronchoscopy without forceps, but no correlation between the type of procedure and the likelihood of malignancy was discovered in our study.
Banjarmasin乌林总医院纤维支气管镜检查的病理特点
简介:纤维支气管镜检查(FOB)已经成为检测肺部肿瘤的首选方法,因为它可以通过支气管肺泡灌洗、支气管刷洗和支气管钳活检获得足够的细胞学和组织学样本。本研究旨在确定南加里曼丹乌林地区医院疑似恶性肿瘤患者的支气管肺泡灌洗、吸痰细胞学、刷牙细胞学和镊子细胞学的特征。方法:利用2018年3月至2020年3月期间疑似肺癌患者的医学文献进行横断面研究。数据按性别、年龄、手术类型、细胞学和组织病理学结果分组。结果:117例经支气管镜检查的患者中,67.5%的患者结果阳性,组织学诊断常见,组织病理学结论多为腺癌(45.6%),其次为鳞状细胞癌(40.55%)。有钳支气管镜检查阳性率(75.0%)高于无钳支气管镜检查阳性率(63.6%),我们还发现,结合BAL和刷牙、钳活检,肺部恶性肿瘤的检出率提高到85.7%,但手术类型与恶性肿瘤的可能性没有相关性。结论:有钳支气管镜检查阳性率高于无钳支气管镜检查阳性率,但手术方式与恶性肿瘤发生的可能性无相关性。
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