Diagnostic utility of bronchoalvelar lavage (BAL) in lung diseases (Study of 438 cases in 2 year period at rural medical college)

Dr. Mahendra Kumar Bharti; Dr. H.G. Varudkar; Dr.Arti Julka

Volume : VIII, Issue : VI, June - 2018

Diagnostic utility of bronchoalvelar lavage (BAL) in lung diseases (Study of 438 cases in 2 year period at rural medical college)

Dr. Mahendra Kumar Bharti, Dr. H. G. Varudkar, Dr. Arti Julka

Abstract :

Introduction: Bronchoalveolar lavage (BAL) is an important clinical and investigational tool. It is a standard diagnostic procedure in all patients with diffuse lung abnormalities like infectious, noninfectious, immunologic, or malignant etc.

Materials and methods: This study was carried out in the Pulmonary Medicine department of RDGMC Ujjain MP. 438 AFB negative cases were included.

Results:83%male,17%female.77% were above 40 yrsage .Cell cytology13.9% (61) neoplastic, 36.99% non neoplastic,42.23% normal and 7.32%no definite diagnosis. Detailed report revealed 42.23%normal pattern, 29.43% inflammatory smear,7.53%granulomatous pattern,7.99% adenocarcinoma, 2.05%malignancy suspects, 2.05%interstitial lung disease ILD,0.91% squamous cell carcinoma,0.46%dysplasia and 7.31%no definite opinion was made.On BAL microscopy 16.43%pseudomonas,3.42%klebisiella,2.73%E coli,2.28%staphylococcusand 75.11%no organism detected.

Conclusion: BAL is a valuable tool for diagnosis of lung parenchymal diseases. Cell cytology and histopathologyenhances the diagnostic yield.