January 2012
·
24 Reads
Lung carcinomas at the time of diagnosis in the majority of cases are inoperabile. Small biopsies are seldom made and rarely diagnostic. Cytology remains the sole tissue disgnostic. Therefore, it is important to perform cyto-patohistologic correlation whenever is possible. A retrospecitve cross sectional study of 2,600 consecutive bronchoscopies and 288 transthoracic fine needle aspiration (FNA) routinely performed at Department of Internal Medicine Divison of Clinical Immunology, Pulmonary Diseases and Rheumatology of our hospital in time period from January 1st 2000 till December 31st 2011. In the same period we found only 78 resected lung specimens in searching for neoplasm. FNA cytology material were malignant/or malignant suspected in 59% (144 malignant and 26 suspected malignancy od 288), while bronchoscopies were positive in about 30-40% (up to 880 of 2,600). These findings together make up to 1000 cases. We could compare our findings with 43 resected lung specimens. Exclusion criteria were: 5 maligancy suspected, 7 were not sutable for any diagnosis, and for 13 cases of small biopsies we did not found any cytology report (Table 1).