Bronchoscopic Assessment of Radiologically Detected Lung Lesion

Authors

  • Md Monjurul Kader Chowdhury Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Palash Kumar Biswas Registrar, Department of Medicine, DMCH, Dhaka
  • Partha Sarathi Sarker Indoor Medical Officer, Department of Medicine, DMCH, Dhaka
  • Md Saidur Rahman Assistant Registrar, Department of Medicine, DMCH, Dhaka
  • Tanzina Begum Chowdhury Indoor Medical Officer, Department of Medicine, DMCH, Dhaka
  • Md Masudur Rahman Indoor Medical Officer, Department of Medicine, DMCH, Dhaka
  • Khan Abul Kalam Azad Professor and Head, Department of Medicine, DMCH, Dhaka

DOI:

https://doi.org/10.3329/jom.v24i2.67272

Keywords:

Bronchoscopic, Radiologically Detected, Lung Lesion

Abstract

Background: Radiologically detected lung lesions are very common in regular clinical practice. It is very important to diagnose radiologically detected lung lesions early. Flexible fiber-optic bronchoscopy is an excellent minimally invasive and safe investigation for early diagnosis of lung diseases.

Methods: Data were collected using a semi-structured questionnaire from the patients who had lesion on chest x-ray that were not in the peripheral part and advised for bronchoscopy. Patients were followed up after getting their histopathology. Statistical analysis using SPSS16.0 was carried out thereafter.

Results: Mean age of the respondents was 56.8 years with age ranging from 25 to 85 years. 82% of the patients were male. Male-female ratio was 4.5:1. Endobronchial growth was found in maximum 46% patients during bronchoscopy, followed by 22% showing inflammatory lesion. In 20% of the patients, bronchoscopy findings showed normal findings and 12% patients showed inconclusive results. In subsequent biopsy and histopathology, maximum 55.88% showed non-neoplastic lesion. Among the non-neoplastic lesions 26.47% showed non-specific inflammation.20.58% showed tuberculosis, 5.88% showed sarcoidosis and 2.94% showed aspergilloma. 35.29% cases showed neoplastic lesion, 2.94% showed inconclusive results, 2.94% showed normal results and 2.94% showed inadequate sample. 58.33% cases were squamous cell carcinoma, 25% cases were adenocarcinoma, 8.33% showed small cell carcinoma and 8.33% showed mixed cell type of carcinoma.

Conclusion: Fiberoptic bronchoscopy can be successfully employed for the diagnosis of lung diseases, including malignancies and granulomatous lesions.It is extremely useful in finding specific etiologies of various lung diseases.

J MEDICINE 2023; 24(2): 106-111

Downloads

Download data is not yet available.
Abstract
31
PDF
63

Downloads

Published

2023-07-02

How to Cite

Chowdhury, M. M. K. ., Biswas, P. K. ., Sarker, P. S. ., Rahman, M. S. ., Chowdhury, T. B. ., Rahman, M. M. ., & Kalam Azad, K. A. . (2023). Bronchoscopic Assessment of Radiologically Detected Lung Lesion. Journal of Medicine, 24(2), 106–111. https://doi.org/10.3329/jom.v24i2.67272

Issue

Vol. 24 No. 2 (2023)

Section

Original Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).