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Vol. 18. Issue 4.
Pages 195-199 (July - August 1982)
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Vol. 18. Issue 4.
Pages 195-199 (July - August 1982)
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Metodo de localizacion del carcinoma broncogenico radiologica y endoscopicamente oculto
A Method for the detection of bronchogenic carcinoma not detectable by x-ray or bronchoscopy
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J. Castella*, M.aC. Puzo*, P. De Las Heras**, C. Leon**, G. Estrada**, R. Bordes***
* Servicio de Aparato Respiratorio (R. Cornudella). Hospital de la Santa Creu i Sant Pau. Barcelona
** Unidad de Cirugía Torácica (C. León). Hospital de la Santa Creu i Sant Pau. Barcelona
*** Servicio de Anatomía Patológica (Dr. L. Galindo). Hospital de la Santa Creu i Sant Pau. Barcelona
R. Cornudella
Hospital de la Santa Creu i Sant Pau. Barcelona
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Resumen

Se presenta un método de localización endoscópica de los carcinomas broncogénicos con radiología y broncoscopia normales (Tx). Consiste en la práctica de una broncofibroscopia (BF) con lavados y broncoaspirados múltiples (BAS-M) en los distintos territorios bronquiales. La BF puede hacerse con anestesia local, su duración media en 25 exploraciones fue de 33 minutos. En 13 BF (practicadas en nueve enfermos con carcinoma escamoso comprobado histológicamente), la localización deducible de los BAS-M coincidió con la histológica; seis de estas BF se hicieron en enfermos con Tx. En una sola BF se produjo contaminación entre los BAS de distintos territorios. Se deduce que el método de localización con BAS-M puede ser útil en los enfermos con Tx y en los carcinomas con citología global positiva, broncoscopia negativa e imagen radiológica poco significativa; es necesario, sin embargo, seguir una técnica cuidadosa y ser prudente en la interpretación de los resultados. patients with Tx. In only one BF did contamination occur between the BAS in different areas. The BAS-M method for localization of a carcinoma is considered useful in patients with Tx and those with positive carcinoma cytology, negative bronchoscopy and non-significant x-ray images; however, careful use of the technique and interpretation of the results is necessary.

Summary

A method for the localization of bronchogenic carcinomas which are not detectable by normal radiological or bronchoscopic techniques (Tx) is described. A fiberoptic bronchoscopy (BF) with múltiple aspiration (BAS-M) and lavages is done in the different bronchial areas. Local anesthesia was used for the BF and the median duration of the exploration was 33 min. for the 25 BF practiced. In 13 BF done in nine patients with histologically proven squamous carcinoma, the localization of the lesión with BAS-M was concordant with the histology findings; six of the BF were done in patients with Tx. In only one BF did contamination occur between the BAS in different areas. The BAS-M method for localization of a carcinoma is considered useful in patients with Tx and those with positive carcinoma cytology, negative bronchoscopy and non-significant x-ray images; however, careful use of the technique and interpretation of the results is necessary.

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Copyright © 1982. Sociedad Española de Neumología y Cirugía Torácica
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