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ISSN 1561-302X (Print)

2016, Number 4

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Rev cubana med 2016; 55 (4)

Diagnostic bronchoscopy in the elderly with suspected lung cancer

Pino APP, Morales DBME, Rodríguez VJC, Cabanes VL, Gassiot NC, Hernández DA, Duvergel CD, Scull HM

Language: Spanish
References: 44
Page: 264-275
PDF size: 103.35 Kb.


ABSTRACT

Background: Lung cancer is a very common disease in the elderly, and this population usually has many associated diseases. Bronchoscopy is an essential study in the diagnosis of this entity.
Objective: Describe the results of diagnostic bronchoscopy in the elderly with suspected lung cancer.
Methods: A retrospective and prospective cross-sectional study was carried out on 125 adult patients aged 60 years or older, who underwent diagnostic bronchoscopy at the Pulmonology Service of "Hermanos Ameijeiras" Clinical and Surgical Hospital from January to December 2015.
Results: 62.4 % of the patients were in the range of 60-69 years; 68.8 % were smokers or ex-smokers, and the main associated diseases were: arterial hypertension and chronic obstructive pulmonary disease. The presence of tumor mass and nodule (52.8 %) predominated for indicating bronchoscopy. The definitive diagnosis was achieved this way in 82.8 % of the patients with endoscopically visible lesions. The complication rate was only 8.8 %, with 0 mortality.
Conclusions: Bronchoscopy has a high diagnostic yield with a minimum of complications for the study of lung cancer in the elderly.


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