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Diagnostic Accuracy in Peripheral Lung Lesions: Factors Predicting Success with Flexible Fiberoptic Bronchoscopy
Section snippets
MATERIALS AND METHODS
All patients with localized peripheral pulmonary infiltrates or nodules which were approached by biplane fluoroscopically guided FFB at Henry Ford Hospital between June, 1974 and July, 1977, form the basis for this report. Details of the bronchoscopic procedure1 and the preparation and collection of cytopathologic specimens were reported previously.2 Mycobacterial and fungal smears and cultures were obtained where appropriate. Bronchial washings were not routinely sent for cytologic
RESULTS
We studied 97 peripheral lung lesions with biplane fluoroscopically guided FFB in 95 patients. There were 66 men and 29 women with a mean age of 64.1 years (range 19–89 years). Fifty-six lesions were located in the right lung, and 41 in the left lung. There were 71 malignant and 26 benign lesions with a range in greatest diameter from 1.1 to 10.7 cm. All data analyses will refer to the diagnostic accuracy in 97 lesions.
The diagnostic accuracy for all lesions was 56 percent. The single best
DISCUSSION
In our series, the most important feature which allowed us to achieve an accurate diagnosis of peripheral lung lesions studied by biplane fluoroscopically guided FFB was the size of the lesion. In a smaller series of malignant lesions, Stringfield et al3 also concluded that the size of the lesion was important. There were, however, too few lesions under 2 cm (three) to separate location from size as the critical factor in diagnosis. Ellis4 analyzed 107 consecutive cases and found a higher
REFERENCES (5)
- et al.
Diagnostic accuracy in lung cancer: Comparison of techniques used in association with flexible fiberoptic bronchoscopy
Chest
(1976) - et al.
The effect of tumor size and location on diagnosis by fiberoptic bronchoscopy
Chest
(1977)
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Manuscript received September 5; revision accepted December 5.