Fibrobronchoscopy in onco-hematological patients with pulmonary infiltrates, cross-sectional study.

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Published

2017-04-15

How to Cite

Galván Vanegas, G., Salazar Reinoso, F., Rivera Rivera, T., Cano, F., Crespo Mawyin, M. del C., Albán de la Torre, L., & Puga Tejada, M. (2017). Fibrobronchoscopy in onco-hematological patients with pulmonary infiltrates, cross-sectional study. Oncology Journal (Ecuador), 27(1), 32–42. Retrieved from https://roe.solca.med.ec/index.php/johs/article/view/24

Issue

Vol. 27 No. 1 (2017): April- July

Section

Original Articles

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Copyright (c) 2017 Graciela Galván Vanegas, Fernando Salazar Reinoso, Tannia Rivera Rivera, Fernando Cano, Ma del Carmen Crespo Mawyin, Luis Albán de la Torre, Miguel Puga Tejada

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors

  • Graciela Galván Vanegas Departamento de Medicina Interna del Hospital General Norte-Ceibos- Instituto Ecuatoriano de Seguridad Social-Guayaquil.
  • Fernando Salazar Reinoso Servicio de Neumología del Instituto Oncológico Nacional Solca, Guayaquil, Ecuador.
  • Tannia Rivera Rivera Servicio de Neumología del Instituto Oncológico Nacional Solca, Guayaquil, Ecuador.
  • Fernando Cano Servicio de Neumología del Instituto Oncológico Nacional Solca, Guayaquil, Ecuador.
  • Ma del Carmen Crespo Mawyin Servicio de Neumología del Instituto Oncológico Nacional Solca, Guayaquil, Ecuador.
  • Luis Albán de la Torre Servicio de Neumología del Instituto Oncológico Nacional Solca, Guayaquil, Ecuador.
  • Miguel Puga Tejada Departamento de Investigación Estadística del Instituto Ecuatoriano de Investigaciones Digestivas, Guayaquil, Ecuador.

Keywords:

BIOPSY, BRONCHOSCOPY LUNG DISEASES, CYTOLOGY, BRONCHIOALVEOLAR LAVAGE

Abstract

Introduction: Infectious diseases and lung masses are an important cause of mortality in onco-hematological patients. The aim of this study was to determine the sensitivity and specificity of fiberoptic bronchoscopy (FOB) in the early diagnosis of haemato-oncological patients.

Methods: The present descriptive cross-sectional study was performed in onco-hematological patients with abnormal findings in chest images that were submitted to BCF in the Oncology Institute of Solca- Guayaquil between the period January 2014 to December 2016.

Results: 98 patients, 54 women (55.1 %), 61 ± 18 years old, 39 (39.8 %) with solid tumors, 76 (77.6 %) with respiratory symptoms, 88 (89.8 %) with high suspicion of malignant injury, entered the study. The sensitivity of the diagnosis with bronchial fluid was 62.5 %, with brushing 88 % and sputum post FOB was 14.3 %. The specificity of the diagnosis with Bronchial fluid was 89.7 %, with Brush 73.9 % and sputum post FOB was 93.3 %.

Conclusions: In the present study there is greater sensitivity with Bronchial Brush comparatively to bronchial fluid and sputum post FOB.

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