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Etude comparée des prélèvements histologiques et cytologiques obtenus par fibrobronchoscopie et bronchoscopie rigide dans les néoplasies bronchiques

par Schmerber, Jacqueline ;Stoupel, Eric ;Manderlier, Thérèse ;De Koster, Jan
Référence Acta Tuberculosea et Pneumologica Belgica, 68, 2-3, page (313-321)
Publication Publié, 1977

Article révisé par les pairs

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Résumé :

The authors compare histological and cytological (endobronchial secretions) results in 2 groups of patients with bronchial carcinoma: group I includes 121 consecutive cases of bronchial carcinoma, who all underwent bronchofiberscopy, group II comprises 121 last cases of bronchial carcinoma, who all underwent a rigid bronchoscopy. When bronchial carcinoma was not demonstrated by endoscopy, it could be demonstrated either by positive cytology of sputa, either by mediastinoscopy, thoracotomy, metastase biopsy, transcutaneous pulmonary biopsy or post-mortem examination. In a few cases, bronchial carcinoma was clinically evident but had no anatomopathologic proof. In 79% of the cases of bronchofiberscopy and in 57% of the cases of rigid bronchoscopy, bronchial biopsy and/or bronchial secretions were positive (P <0.001). Only class V of Papanicolaou was retained as positive results for bronchial secretions. Histology and/or cytology of bronchial secretions obtained from bronchofiberscopy or rigid bronchoscopy are of great help in the diagnosis of central neoplasm (respectively 89% and 85%). On the other hand, the detection of peripheral malignant lesions is considerably enhanced by bronchofiberscopy (69% against 23% by rigid bronchoscopy), especially for the superior lobes (76% of positive results by bronchofiberscopy against 32% by rigid bronchoscopy; p <0.0005). The authors compare and discuss their results with those of the literature.