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Se presenta una serie de 100 pacientes con carcinoma bronquial, analizando los métodos diagnósticos utilizados, en cuanto a rentabilidad y complicaciones. La citologia de esputo fue positiva en el 51% de los casos. La broncofibroscopia lo fue en el 78,9%, alcanzando el 94% cuando el tumor era visible. La punción transtorácica utilizando dos tipos de aguja, una gruesa cortadora y otra fina, fue diagnóstica en el 80% de los casos, precisamente en aquellos que fallaba la broncofibroscopia. De las tres técnicas, la única que presentó complicaciones significativas fue la punción transtorácica con un 27% de neumotórax, ninguno de los cuales requirió drenaje.
The diagnostic methods used for a series of 100 patients with bronchial carcinoma were reviewed to determine their usefulness and complications. Sputum cytology was positive in 51% of all cases; fiberoptic bronchoscopy in 78.9% and in 94% when the tumor was visible. Transthoracic puncture with two different type needles —a thick beveled one and a fine one—, was diagnostic in 80%, and in particular in those cases where fiberoptic bronchoscopy was not successful.
Significant complications occurred only with transthoracic puncture with a 27% rate of pneumothorax which did not require surgical drainage in any of the cases.
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