Abuelwahed Gdeedo1, Ahmed Balloz2, Enaiet Ahmed3
1) Departments of Surgery, 2) Medicine and 3) Pathology, African Cancer Institute, Sabratha, Libya
JMJ Vol.4 No. 2 (Autumn) 2005: 119-121
The aim of the present work is to evaluate the diagnostic accuracy of the different cytological methods in suspected cases of lung cancer. The material of the study comprised of 30 patients;( 28 males and 2 females) with clinical and radiological evidence of lung cancer. The age of the patients ranged from 50 up to 83 years with an average age of 66.5 years. By examination of different cytological specimens, (sputum, bronchial wash and brush as well as percutaneous trans thoracic fine needle aspiration), a positive malignancy was proved in 22 out of 30 cases. Conclusion: 1- Positive diagnostic cytology in the majority of lung cancer can be obtained by the examination of different cytological samples ( sputum, bronchial wash and brush as well as transcutenous fine needle aspiration). 2-The use of bronchoscopy for bronchial wash and brushing significantly increased the diagnostic cytology value for malignancy ( from 16.67 % to 73.30 % ).
Keywords: Bronchial cytology, Lung cancer, Bronchial wash, Bronchial brush, Transcutaneous fire needle aspiration