Hemoptysis: bronchoscopic-computed tomographic correlation in ninety eight cases

Yıl 2000, Cilt: 5 Sayı: 1, 21 - 25, 20.02.2013

H. Ekim İ. Sanisoğlu H. Akar

Öz

Objective: To retrospectively evaluate the efficiency of
the fiberoptic bronchoscopy (FOB) examination com-pared to computed tomography (CT) in the evaluation
of patients with hemoptysis.
Methods: We retrospectively reviewed 98 patients who
underwent FOB and CT for hemoptysis. There were 78
male and 20 female. The mean age was 46 years with a
range from 18 to 80 years
Results: Hemoptysis was attributed bronchiectasis in
19 (19.4%) cases, bronchogenic carcinoma in 18 (18.3%)
cases, bronchitis in 23 (23.4%) cases, tuberculosis in 7
(7%) cases, cryptogenic causes in 28 (28.5) cases and
miscellanous causes in 3 (3%) cases (a perforated
hydatid cyst, a mitral stenosis and an intrabronchial
foreign body).
Endobronchial abnormalities were seen on CT but not
at FOB in 4 of the 18 patients with malignancy. In con-trast endobronchial abnormalities were identified at
FOB but not seen by CT in 3 patients. CT and FOB agreed
on only 11 of these 18 patients.
Conclusion: FOB can be used for patients with hemop-tysis with reduced cost compared to CT and frequently
may lead to a precise histologic diagnosis and subse-quent early surgical management. But both FOB and CT
should be used for a complete diagnosis and
appropriate therapy planning in most patients with
hemoptysis.
Key words: Hemoptysis, computed  tomography,
fiberoptic broncoscopy.

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