Exobronchial pulmonary eye: Ultrasound guided transbronchial lung biopsy in pulmonary shadows with negative endobronchial findings

International Conference and Exhibition on Lung Disorders & Therapeutics

July 13-15, 2015 Baltimore, Maryland, USA

Ahmed Mohammed Abumossalam, Abdelgawad T T, Moawd A A and Shebl A M

Posters-Accepted Abstracts: J Pulm Respir Med

Abstract :

Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy. A diagnostic TBLB may preclude the need for an open lung biopsy. Purpose: The aim of this study is to clarify the diagnostic acquiesce of ultrasound guided TBLB in pulmonary shadows with negative endobronchial findings in variant parenchymal pulmonary lesions. Patients & Methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent TBLB supported by computed tomography (CT) chest for segmental localization and in place ultrasonographic assessment with ultrasound unit by convex two dimensional probes. Results: TBLB succeeded in the diagnosis of 79 cases out of 117 cases (67.52%) from first session and failed in 38 cases. Follow up of these cases was considered for two weeks; 18 cases proved to be inflammatory consolidation and improved with nonspecific antimicrobial and 12 cases underwent CT guided true cut biopsy and proved to be:2 cases of pulmonary tuberculosis (TB), 6 cases of squamous cell carcinoma and 4 cases of pulmonary Hodgkin lymphoma. Six cases diagnosed to be adenocarcinoma and 2 cases of sarciodosis by a second TBLB. Conclusion: The ultrasound guided TBLB specimen can provide valuable information for clinical management in the setting of unifocal localized pulmonary disease without obvious endobronchial finding lending a hand with transthoracic ultrasound for selecting appropriate patients to undergo biopsy and in limiting the differential diagnosis.