A Prospective Study of Clinical Profile and Role of Fiber Optic bronchoscopy in Patients with Sputum Negative for AFb with undiagnosed lung lesions in Chest X-Ray Rajesh BP1,*, Kamatar Saroja C2, Kumar Vijay3 1Associate Professor, Department of Pulmonology, J J M Medical College, Davangere 2Assistant Professor, Department of OBG, J J M Medical College, Davangere 3Senior Resident, (Pulmonology), J J M Medical College, Davangere *Corresponding Author: Dr Rajesh B P Associate Professor Department of Pulmonology, J J M Medical College, Davangere-577004, Karnataka Mob: 09620326244 E-mail: drrajeshbp@gmail.com, saroja.kamatar7@gmail.com
Online published on 5 May, 2018. Abstract Respiratory diseases come with wide range of presentations. Some of these cases present with various undiagnosed lung lesions in the chest x ray. The advent and availability of fiberoptic bronchoscope has been a major advance in pulmonary medicine. This is a prospective study done in50 patients who presented with various respiratory symptoms to our hospital with undiagnosed lung lesions in the chest x-ray. They underwent Fiber optic bronchoscopy(FOB), BAL fluid analysis and forceps biopsy and evaluated. Among 20 patients suspected of sputum negative pulmonary tuberculosis 7(35%) turned out as positive for Acid Fast Bacilli (AFB). Among 21 patients categorized into malignancy 15 (71.42%) turned out as malignancy. Most common cell type in our study was of Squamous Cell Carcinoma (SqCC). Bronchoscopy results in a definitive diagnosis in nearly half of the patients analyzed with a positive yield of 46% (23 patients). Fiber optic bronchoscopy (FOB) is an important investigation in determining the etiology and definitive diagnosis in patients presenting with various respiratory symptoms with undiagnosed lung lesions in the chest x-ray. Top Keywords Fiber optic bronchoscopy(FOB), Acid Fast Bacilli (AFB), Squamous Cell Carcinoma(SqCC).), Bronchoalveolar Lavage (BAL). Top |