Transbronchial Lung Biopsy through the Fiberoptic Bronchoscope in Diffuse Lung Disease

Abstract

Transbronchial forceps biopsy (TBB) of the lung through the fiberoptic bronchoscope was performed in 74 patients. A histological diagnosis compatible with the clinical course, and roentgenographic appearance was obtained in 47 (64%) patients. There were six cases with inadequate tissue and ten cases where TBB was both nondiagnostic and of no other benefit in the subsequent management of the patient. This procedure was of particular value in evaluation of acutely ill patients with diffuse parenchymal disease. TBB either gave a specific diagnosis or correctly influenced patient management in 14 (89%) of 16 acutely ill patients with diffuse parenchymal disease. There was no uncontrollable hemorrhage; in one patient (15%) pneumothorax occurred. The safety and diagnostic value of this technique in the diagnosis of diffuse lung disease is proven.

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References

Andersen

Fontana

: Transbronchoscopic lung biopsy in diffuse pulmonary disease. Chest 48: 187–192, 1965.

Joyner

Scheinhorn

: Chest. To be published.

Andersen

Miller

Bernat

: Lung biopsy: Transbronchoscopic, percutaneous, open. Surg Clin North Am 53: 785–793, 1973.

Levin

Wicks

Ellis

: Transbronchial lung biopsy via the fiberoptic bronchoscope. Am Rev Resp Dis 110: 4–12, 1974.

Friedman

: Roentgenographically atypical Pneumocystis carinii pneumonia. Am Rev Resp Dis 111: 89–96, 1975.

Goodell

Jacobs

Powell

: Pneumocystis carinii: The spectrum of diffuse interstitial pneumonia in patients with neoplastic disease. Ann Intern Med 72: 337–340, 1970.