TY - JOUR TT - HEMOPTYSIS: A RETROSPECTIVE ANALYSIS OF 311 CASES AU - Koca, Hakan AU - Özden, Sezen Ş. AU - Güldaval, Filiz AU - Özacar, Rıfat PY - 2008 DA - December JF - İzmir Göğüs Hastanesi Dergisi JO - İzmir Göğüs Dergisi PB - İzmir Göğüs Hastalıkları Hastanesi WT - DergiPark SN - 1300-4115 SP - 65 EP - 71 VL - 22 IS - 3 KW - Hemoptizi KW - toraks BT KW - bronkoskopi N2 - The aim of this study is to show the etiologic distribution of hemoptysis, relationships between etiology and the amount of hemoptysis, and the capability of different diagnostic methods in determining the causes of hemoptysis. 311 patients, who were admitted to our hospital for hemoptysis between January 2000 and December 2002, were retrospectively rewieved. The most comman causes of hemoptysis were lung cancer (28.4%), active pulmonary tuberculosis (16.4%) and pneumonia (16.1%). 24(7.7%) patients had idiopathic hemoptysis. It was the first hemoptysis attack in 220(70.7%) cases and was recurrent in 91(29.3%) cases. The most comman associating symptom was cough (65.5%). The most comman radiologial lesion was homogenious dansity (27.9%) and the most comman lacation was right upper zone (21.2%) and right lower zone (21.2%). The most comman thorax CT lesion was mass (37.6%) and the most location was right upper lobe (23.2%). There were abnormal findings in the chest radiographs of the 83.2% of the cases, while in thorax CT images of 87.9% and 66.6% of bronchoscopy. As a result, the leading cause of the hemoptysis was lung cancer. It was seen thatcomputed tomography has a higher value than fiberoptic bronchoscopy in diag nostic evaluation. Hemoptysis can be seen in very different clinical conditions. This study emphasizes the importance of careful search for the reasons hemoptysis. CR - 1. Johnston H, Reisz G. Chancing spectrum of hemoptysis: underlying causes in 148 patients undergoing diagnostic fiberoptic bronchoscopy. Arch Intern Med 1989; 149: 1661-8. CR - 2. Hirsberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation and outcome in a tertiary referral hospital. Chest 1997; 112: 440-4. CR - 3. O’neil KM, Lazarus AA. Hemoptysis: indications for bronchoscopy. Arch Intern Med 1991; 151: 171-4. CR - 4. Adelman M, Haponik EF, Bleecker ER, Britt EJ. Cryptogenic hemoptysis: clinical features, bronchoscopic findings and natural history in 67 patients. Ann Intern Med 1985; 102: 829-34. CR - 5. McGuinness G, Beacher JR, Harkin TJ, Garay SM, Rom WN, Naidich DP. Hemoptysis: prospective high resolution CT/ bronchoscopic correlation. Chest 1994; 105: 1155-62. CR - 6. Poe RH, Israel RH, Marin MG, Ortiz CR, Dale RC, Wahl GW, Kallay MC, Greenblatt DG. Utility of fiberoptic bronchoscopy in patients with hemoptysis and a nonlocalizing chest roentgenogram. Chest 1988; 93: 70-5. CR - 7. Fidan A, Ozdo¤an S, Oruç O, Salepçi B, Ocal Z, Ca¤layan B. Hemoptysis: a retrospective analysis of 108 cases. Respir Med 2002; 96: 677-80. CR - 8. Yavaflo¤lu G, Karalar S ve ark. Hemoptizi olgular›n›n retrospektif de¤erlendirilmesi. TÜSAD 23. Kongre Kitab› 1996; 20: 583-86. CR - 9. Abal AT, Nair PC, Cherian J. Hemoptysis: etiology, evaluation and outcome-a retrospective study in a third-world country. Respir Med 2001; 95: 548-52. CR - 10. Boulay F, Berthier F, Sisteron O, Gendreike Y, Blaive B. Seasonal variation in cryptogenic and noncryptogenic hemoptysis hospitalizations in France. Chest 2000; 118: 440-4. CR - 11. Santiago S, Tobias J, Williams AJ. A reappraisal of the causes of hemoptysis. Arch Intern Med 1991; 151: 2449-51. CR - 12. Haro Estarriol M, Vizcaya Sánchez M, Jiménez López J, Tornero Molina A. Etiology of hemoptysis: Prospective analysis of 752 cases. Rev Clin Esp 2001; 201: 696-700. CR - 13. Wong CM, Lim KH, Liam CK. The causes of hemoptysis in Malaysian patients aged over 60 and the diagnostic yield of different investigations. Respirology 2003; 8: 65-8. CR - 14. Tak S, Ahluwalia G, Sharma SK, Mukhopadhya S, Guleria R, Pande JN. Hemoptysis in patients with a normal chest radiograph: bronchoskopy-CT correlation. Australas Radiol 2001; 45: 104. CR - 15. Magu S, Malhotra R, Gupta KB, Mishra DS. Role of computed tomography in patients with hemoptysis and a normal chest skiagram. Indian J Chest dis Allied Sci. 200 Apr-Jun; 42: 101-4. CR - 16. Mal H, Thabut G, Plantier L. Hemoptysis. Rev Prat 2003; 53: 975-9. CR - 17. Set PA, Flower CD, Smith IE, Chan AP, Twentyman OP, Shneerson JM. Hemoptysis: comparative study of the role of CT and fiberoptic bronchoscopy. Radiology 1993; 189: 677-80. UR - https://dergipark.org.tr/tr/pub/ighd/issue//522098 L1 - https://dergipark.org.tr/tr/download/article-file/641311 ER -