Usefulness of Bronchial washings in diagnosing lung malignancy.

  • Ruchee Khandelwal Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
  • Deepti Agarwal Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
  • Akriti Agarwal Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
  • Kriti Arora Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
Keywords: Bronchial wash, Cytology, Lung cancer, Sensitivity.

Abstract

Objective: The present study was done to evaluate the yield of bronchial wash in cases of lung cancer.

Methods: This is a 3 year retrospective study which included 163 cases of lung cancer in whom bronchial wash cytology had been done.

Results: The age range was from 34 to 88 years and Male: Female ratio was 5.5:1. The sensitivity of bronchial wash was found to be 24.5% and the false negative index was 32.5%. The sensitivity of endobronchial biopsy was 93.4%. Tumor typing into small cell carcinoma and non-small cell carcinoma could be done on cytology in 85% of cases positive on bronchial wash. Squamous cell carcinoma was the most common type. Interestingly one case was diagnosed as Adenoid cystic carcinoma which was later confirmed on biopsy.

Conclusion: There is still disagreement as to the value and reliability of bronchial wash cytology in diagnosing lung cancer.  Bonchial wash cytology has low sensitivity for detecting lung cancer; however, it may be a useful diagnostic test in patients in whom endobronchial biopsy cannot be done.

Downloads

Download data is not yet available.

Author Biographies

Ruchee Khandelwal, Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
Department of Pathology, Associate Professor
Deepti Agarwal, Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
Department of Pathology , Assistant Professor
Akriti Agarwal, Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
Department of Pathology, Clinical Associate
Kriti Arora, Shri Ram Murti Smarak Institute of Medical Sciences, MJP Rohailkhand University, Bareilly
Department of Pathology, Post Graduate
Published
2018-04-01
Section
Original Research Articles