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Tanaffos، جلد ۶، شماره ۲(spiring)، صفحات ۴۶-۵۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Fiberoptic Bronchoscopy: Correlation of Cytology and Biopsy Results |
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| چکیده انگلیسی مقاله |
Background: Fiberoptic bronchoscopy is a diagnostic method for respiratory diseases. At present, its diagnostic yield has been increased by different cytologic and histologic procedures by convention. Objective: This study was conducted to evaluate the concordance and agreement between cytologic and histologic findings in conventional diagnostic bronchoscopic methods (washing and biopsy) for lung malignancies. Materials and Methods: This was a cross-sectional study performed on 2076 cases of bronchial biopsy and bronchial washing between 1996 and 2003. Results: Of 2163 patients who underwent fiberoptic bronchoscopy after omitting 87(4%) cases due to unsatisfactory specimens, 2076 cases were studied including 832 (36.9%) females and 1244 (63.1%) males in the age range of 2 to 100 years, ( mean age 57.7±16.3 yrs). Male to female ratio was 1.5. Malignancy was diagnosed in 657(31.6%) biopsy and 283(13.6%) cytology specimens. Two hundred and sixty-five cases had malignant lesions according to both bronchial biopsy and bronchial washing; therefore, Kappa coefficient in both methods was 46.7% (P value = 0.000). Concordance rate was 77.4%. Ninety-seven point three percent of malignant cases were diagnosed by biopsy and 41.9% by cytology. Cytology contributed to an additional diagnostic rate of 2.6%. Conclusion: Kappa agreement is classified as fair and although there is a very good concordance between the two sampling techniques, the diagnostic yield of cytology for malignancy must be improved by combination of multiple assays. (Tanaffos 2007; 6(2): 46-50) |
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| کلیدواژه‌های انگلیسی مقاله |
Fiberoptic bronchoscopy,Bronchial biopsy,Bronchial washing,Cytology,Histology,Concordance,agreement |
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| نویسندگان مقاله |
Zohreh Mohammad Taheri |
Department of Clinical Anatomical Pathology,
Forozan Mohammadi |
Department of Clinical Anatomical Pathology,
Shirin Karimi |
Department of Clinical Anatomical Pathology,
Hamidreza Jabbar Darjani |
Department of Pulmonary Medicine
Leila Seyfollahi |
Department of Clinical Anatomical Pathology
Habib Emami |
Tobacco Prevention and Control Research Center,
NRITLD, Shaheed Beheshti University of Medical Sciences and Health Services, TEHRAN-IRAN
Moslem Bahadori |
Department of Clinical Anatomical Pathology
Mohammad Reza Masjedi |
Department of Pulmonary Medicine
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| نشانی اینترنتی |
https://www.tanaffosjournal.ir/article_241357_b3b4cdf3867cb0b5bca6969944efd766.pdf |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
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