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(Chest. 1974;65:616-619.)
© 1974 American College of Chest Physicians

Cytology in Fiberoptic Bronchoscopy

Comparison of Bronchial Brushing, Washing and Post-Bronchoscopy Sputum

D. A. Solomon M.D.1; N. H. Solliday M.D.2; and D. R. Gracey M.D., F.C.C.P.3

1 Trainee, NIH Graduate Training Grant
2 Attending Physician, Northwestern Memorial Hospital; Associate in Medicine
3 Director, Pulmonary Medicine Section, Wesley Pavillion, Northwestern Memorial Hospital; Assistant Professor of Medicine

Fiberoptic bronchoscopy was used to study 103 patients with suspected pulmonary neoplasm. Material for cytologic examination was obtained from bronchial brushing, bronchial washing and post-bronchoscopy sputum. In 87 patients, a definite diagnosis was made. The bronchial brush material was positive in 41 of the 46 patients with carcinoma. Bronchial washing plus post-bronchoscopy sputum examination identified only one additional neoplasm. Of the 17 patients with hemoptysis and a normal chest roentgenogram a diagnosis was achieved in 14, but no carcinomas were found. It may be preferable to repeat the bronchial brushing rather than rely on bronchial washing or post-bronchoscopy sputum when the initial brushing is not diagnostic.

Submitted on February 14, 1974
Accepted on February 14, 1974




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