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Chest, Vol 87, 142-144, Copyright © 1985 by American College of Chest Physicians

ARTICLES

Role of fiberoptic bronchoscopy in patients with hemoptysis and a normal chest roentgenogram

CV Jackson, PJ Savage and DL Quinn

We reviewed the charts of 48 consecutive patients who had fiberoptic bronchoscopy performed in the evaluation of hemoptysis with a normal chest roentgenogram. Fiberoptic bronchoscopy provided a diagnosis other than endobronchial inflammation in only four patients--benign fibromuscular polyp in one patient, Mycobacterium tuberculosis in 1 patient, and carcinoma in two others. A literature review revealed an overall 3 percent incidence of bronchogenic carcinoma in patients with hemoptysis and normal findings on chest roentgenogram. Other than abnormal findings on chest roentgenogram, risk factors for carcinoma in patients with hemoptysis include: (1) age greater than 40; (2) significant smoking history; and (3) duration of hemoptysis for longer than one week. We concluded that in patients with hemoptysis and normal chest x-ray film findings, routine fiberoptic bronchoscopy may not always be indicated to rule out malignancy.


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F. Herth, A. Ernst, and H. D. Becker
Long-term Outcome and Lung Cancer Incidence in Patients With Hemoptysis of Unknown Origin
Chest, November 1, 2001; 120(5): 1592 - 1594.
[Abstract] [Full Text] [PDF]


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Copyright © 1985 by the American College of Chest Physicians.