The Report of Fiberoptic Bronchoscopy in 300 Patients in Hamadan University of Medical Sciences,Internal Medicine Unit

Abstract

Direct examination of the tracheobronchial tree with flexible fiberoptic bronchoscopy has greatly facilitated the diagnosis , staging and management of pulmonary neoplasms and other lung diseases. The purpose of this brief review is assessed to see the indication and rate of diagnosis of this procedure in a regional center such as Hamadan. Fiberoptic bronchoscopy survey in 300 patients in a two year study by author showed that its most important indication in 261 cases (87%) was for the diagnosis of bronchogenic carcinoma and 210 cases of them (85%) showed abnormal changes in the bronchi.Malignancy was proved in 183 cases by pathologic investigations. The commonest radiologic finding which could reveal of abnormal bronchoscopy view was collapse atelectasis and central opacity followed by RUL involvment. Recently with using brushing biopsy and providing cell block , some experiments are being brought into existance in Hamadan.Complication with this procedure are very rare and concerning the efficiency of this procedure in out patients with local anasthesia and the least preparation has plain preference to rigid bronchoscope.

Keywords

• bronchoscopy - utilization /lung neoplasms