ROLE OF BAL FLUID, BRONCHIAL BRUSH CYTOLOGY AND GUIDED FNAC IN EVALUATION OF CARCINOMA LUNG

JYOTIRMAYEE MISHRA; GITIMADHURI DUTTA; KAILASH CHANDRA AGARWAL

Volume : VIII, Issue : VII, July - 2019

ROLE OF BAL FLUID, BRONCHIAL BRUSH CYTOLOGY AND GUIDED FNAC IN EVALUATION OF CARCINOMA LUNG

Jyotirmayee Mishra, Gitimadhuri Dutta, Kailash Chandra Agarwal

Abstract :

Background : Lung cancer is currently the most frequently diagnosed major cancer in the world and most common cause of cancer mortality worldwide. Bronchoalveolar lavage (BAL), onchial ushing and fine needle aspiration cytology are helpful in the early diagnosis of lung malignancies. Materials and methods– This was a prospective study, conducted in the Department of pathology VIMSAR from a period between July 2016 to June 2018 . 32 patients with suspected lung mass were included in our study group. HRCT was done prior to BAL fluid collection to locate lesion. BAL and onchial ush samples were collected by using flexible fieoptic onchoscopy . CT guided FNAC was done where possible. Results : A total of 32 suspected lung cancer presented as lung mass who had done BAL, ush and FNAC were included in our study group. Out of total 32 cases of clinically suspected lung mass 30 cases were confirmed as carcinoma lung on histopathology study with a M:F ratio 2.55 :1. Maximum number of patients were present in 6th decades . Adeno carcinoma was most common carcinoma (60%) in our study .Sensitivity of BAL was 65.5% while that of BB was 73.33%. Specificity of BAL & BB were equal (66.66%), and that of FNAC was 100% . Conclusion: Combination of BAL , BB and FNAC increases both sensitivity and specificity in diagnosis of carcinoma of lung and it reduces the chances of false positive and false negative results.