By John A. Nakhosteen M.D., Werner Maassen M.D. (auth.), John A. Nakhosteen M.D., Werner Maassen M.D. (eds.)
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Additional info for Bronchology: Research, Diagnostic, and Therapeutic Aspects: Proceedings of the Second World Congress for Bronchology, held at Düsseldorf, FRG, 2–4 June 1980
Cytologic evidence of early epithelial injury, various degrees of atypical metaplasia, evidence of early bronchial malignancy and outspoken cancer are recorded on the patients charts. ,1978). The routine clinical procedures during the "prevalence", cytology screening study are shown in Table 1 .. The bronchofiberscopy is performed by the otolaryngologist who also makes a routine ENT-examination to exclude malignancies in the upper respiratory and alimentary passages. The otolaryngologist in addition performs the mediastinoscopy in the case the patient is a candidate for surgical resection.
5% were unclear (Pap III). A. Nakhosteen and II! ), Bronchology: Research, Diagnostic and Therapeutic Aspects. All rights reserved. Copyright 1981. 7%). 120 of 474 carcinomas were diagnosed as such by examination of the catheter biopsies alone. This figure is about one third higher than that for carcinomas diagnosed from bronchial secretion. Table 2 shows the success rate for detection of primary and metastasising tumours by examination of bronchial secretion and catheter biOpsies. The rate of accuracy for primary tumours was 36% by bronchial secretion, 60% by catheter biopsy and 66% by a combination of the two.
Blutungen ins Parenchym, erkennbar an einer unscharfen HerdvergroBerung, korrrnen haufiger vor, bilden sich jedoch symptomlos ohne Therapie zurUck. Eine Tumorzellimplantation in die Bronchialschleimhaut findet nach unseren Erfahrungen und nach den Literaturberichten nicht statt. SCHLUSSFOLGERUNGEN Die hohe Trefferquote der Katheterbiopsie, die geringe Komplikationsrate'der Methode und die Moglichkeit der sofortigen Behebung der Komplikationen im Rahmen der Narkosebeatmungsbronchoskopie sind fUr uns AnlaB, die Katheterbiopsie als primare morphologisch-diagnostische Methode bei tumorverdachtigen peripheren Rundherden einzusetzen.