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Titre du document / Document title

Bronchial tuberculosis : Cytologic diagnosis of fiberoptic bronchoscopic brushings

Auteur(s) / Author(s)

FANG X. (1) ; MA B. (2) ; YANG X. (3) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Pathology, Urumqi Railway Central Hospital, Urumqi, Xinjiang, CHINE
(2) Department of Cytology, Urumqi Railway Central Hospital, Urumqi, Xinjiang, CHINE
(3) Department of Surgery, Urumqi Railway Central Hospital, Urumqi, Xinjiang, CHINE

Résumé / Abstract

OBJECTIVE: To determine the cytomorphologic features of bronchial tuberculosis on fiberoptic bronchoscopic brushings and its diagnostic value. STUDY DESIGN: Seven hundred forty-six bronchoscopic examinations were retrospectively studied. The patients' macroscopic findings made by fiberoptic bronchoscopic examination, as well as brush cytologic and biopsy findings, were reviewed. RESULTS: Of 746 bronchoscopic brushing specimens, 23 were diagnosed as endobronchial tuberculosis by cytomorphology; that accounted for about 3.1% of cases. The same or a similar diagnosis was made for both specimen types in 16 of the specimen pairs. Acid-fast stain showed that only one brushing was positive (4.3%); all the biopsy specimens were negative. Epithelioid cell granulomas and/or caseous necrosis were found in 23 cases of brush smears, while tuberculous granulomas accounted for 16 bronchial biopsies. Seven were nonspecific chronic bronchitis or normal bronchial mucosa. CONCLUSION: The cytomorphologic alterations of tuberculosis are suitable for diagnosing bronchial tuberculosis on fiberoptic bronchoscopic brushings. Its sensitivity for defining bronchial tuberculosis is not lower than that of bronchial histologic biopsies or bacteriologic examination.

Revue / Journal Title

Acta cytologica    ISSN  0001-5547   CODEN ACYTAN 

Source / Source

Congrès
Annual Scientific Meeting of the American Society of Cytopathology No45, Boston, Massachusetts , ETATS-UNIS (04/11/1997)
1997, vol. 41, no 5, pp. 1539-1629 (10 ref.), pp. 1463-1467

Langue / Language

Anglais

Editeur / Publisher

Karger, Basel, SUISSE  (1957) (Revue)

Mots-clés anglais / English Keywords

Tuberculosis

;

Bronchus

;

Bronchoscopy

;

Brushing

;

Cytopathology

;

Pathology

;

Diagnosis

;

Human

;

Mycobacterial infection

;

Bacteriosis

;

Infection

;

Respiratory disease

;

Bronchus disease

;

Lung disease

;

Endoscopy

;

Mots-clés français / French Keywords

Tuberculose

;

Bronche

;

Bronchoscopie

;

Brossage

;

Cytopathologie

;

Anatomopathologie

;

Diagnostic

;

Homme

;

Mycobactériose

;

Bactériose

;

Infection

;

Appareil respiratoire pathologie

;

Bronche pathologie

;

Poumon pathologie

;

Endoscopie

;

Mots-clés espagnols / Spanish Keywords

Tuberculosis

;

Bronquio

;

Broncoscopia

;

Cepillado

;

Citopatología

;

Anatomía patológica

;

Diagnóstico

;

Hombre

;

Micobacteriosis

;

Bacteriosis

;

Infección

;

Aparato respiratorio patología

;

Bronquio patología

;

Pulmón patología

;

Endoscopía

;

Localisation / Location

INIST-CNRS, Cote INIST : 10515, 35400006925615.0100

Nº notice refdoc (ud4) : 2818438



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