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  • Title: Use of the flexible fibre-optic bronchoscope in the diagnosis of lung carcinoma.
    Author: Willcox PA, Benatar SR.
    Journal: S Afr Med J; 1983 May 21; 63(21):799-801. PubMed ID: 6845103.
    Abstract:
    Bronchoscopy carried out in 367 patients because of a chest radiograph suggestive of lung carcinoma confirmed this diagnosis in 194 cases and excluded it in 173. The diagnosis of carcinoma was made by fibre-optic bronchoscopy in 141 cases (73%), by examination of biopsy specimens and bronchial brushings in 125, and by visualization and follow-up in 16. Visible tumours accounted for 40% of the malignant lesions and 79% of these were diagnosed on examination of biopsy specimens or brushings, compared with 55% of non-visible tumours. Of the tumours 131 were radiographically peripheral, and 60% of these were diagnosed with the fibre-optic bronchoscope. The diagnostic yield in the 63 proximal tumours was 98%.
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