A broncofibroscopia no diagnostico do carcinoma bronquico

Abstract

Fez - se um estudo pros pectivo das broncofibroscopias rea lizadas pelo autor em 941 pacientes , no per íodo de julho de 1977 a maio de 1983, analisando - se os 302 casos de carcinoma brônquico diagnosticados nesta populaç ão. A sensibilidade diagnóstica do exame citopatológico fo i de 52,92% para o lavado brônquico e de 64,91% para o escovado brônquico . A sensibilidade da biópsia brônquica foide 65,47 %. A associação de s ses procedimentos proporcinou o diagnóstico citológico e/ou histológico em 250 dos 302 casos, com um perce ntual de 82 , 78% . As complicaçÕes foram raras , ocorrendo em 0 , 92% das broncoscopias .

A prospective study of fiberbronchoscopy made by the author on 941 pacients, during the period July 1977 to Nay 1983 , was undertaken and an analysis of 302 bronchogenic carcinomas was made. The sensitivity of the cytopathological exam of the bronchial aspirate was 52,92% and the se nsitivity of the cytopathological exam of the bronchial brushing was 64,9 1%. The sensitivity of bronchial biopsy was 65,47%. The association of these three methods was positive in 25 0 of 302 cases (82 ,7 8% ) . The complications were rare, being registered of the in 0, 92% bronchoscopies.