Pino APP, Cabanes VL, Hernández DA, Vega RI, Pino FA, Duvergel CD, Scull HM

Language: Spanish
References: 0
Page: 163-173
PDF size: 64.05 Kb.

ABSTRACT

Introduction: The rapid diagnosis of pulmonary, primary or metastatic neoplastic diseases has significant influence on the outcome of treatment and the prognosis of this group of high lethal diseases. In their diagnosis, several techniques are used, among them the bronchial brushing for cytological study which achieves great diagnostic performance in endoscopically visible lesions and it is also very useful in the peripheral tumors diagnosed in a significant percentage and with minimum complications.
Objective: To evaluate the results of blind bronchial brushing in peripheral lung lesions of possible tumor etiology.
Methods: A descriptive, retrospective, cross-sectional study in patients who underwent blind bronchial brushing in peripheral pulmonary lesions suggestive of tumor was conducted in the Pneumology Department at Hermanos Ameijeiras Hospital, over a period of 10 years. The variables taken into account were location of the lesion, brushing useful for diagnosis, positive and negative results, size of the lesion, and the definitive diagnoses.
Results: Blind brushing was performed on 517 patients, it was useful for diagnosis in 491 (95 %), a positive result was obtained in 289 (56 %).
Conclusions: Blind brushing technique in peripheral lung lesions considerably improves the diagnostic performance of bronchogenic carcinoma with low number of complications.