Role of flexible bronchoscopic cryotechnology in diagnosing endobronchial masses

Chun Liang Chou, Chih Wei Wang, Shu Min Lin, Yueh Fu Fang, Chih Teng Yu, Hao Cheng Chen, Chih Hsi Kuo, Meng Heng Hsieh, Fu Tsai Chung

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Endobronchial masses obstruct the central airway, and cryotechnology is reportedly a feasible means of managing such masses. However, few reports have explored the role of cryotechnology in diagnosing endobronchial masses. Methods: All endobronchial masses were sampled for pathologic diagnosis by forceps biopsy and cryotechnology, performed during flexible bronchoscopy. The diagnostic accuracy of forceps biopsy and that of cryotherapy were compared by the χ2 test, and the obtained specimen sizes were compared by the t test. Results: Between 2007 and 2011, 75 patients with a median age of 64 years (interquartile range [IQR], 49-76; 48 men; 27 women; and 52 smokers [69.3%]) were diagnosed with endobronchial masses. The sites of these masses included the trachea (n = 17), left main bronchus (n = 16), right main bronchus (n = 11), right upper lobe bronchus (n = 11), right intermediate bronchus (n = 8), right lower lobe bronchus (n = 4), left upper lobe bronchus (n = 3), left lower lobe bronchus (n = 3), and right middle lobe bronchus (n = 2). Fifty-nine lesions were malignant, and 16 were benign. Lung squamous cell carcinoma (n = 23) was the leading cause of malignancy, and endobronchial tuberculosis (n = 9) was the most common benign disease. The diagnostic accuracy of cryotechnology was significantly higher than that of forceps biopsy (100% vs 69.3%, p < 0.0001). The specimen size obtained by cryotechnology was also significantly larger than that obtained by forceps biopsy (13.8 ± vs 1.9 ± 0.6 mm, p < 0.0001). Conclusions: The current study supports the view that cryotechnology is a good tool for diagnosing endobronchial masses. Cryotechnology also provides a better diagnostic specimen and has greater diagnostic accuracy than traditional forceps biopsy.

Original languageEnglish
Pages (from-to)982-986
Number of pages5
JournalAnnals of Thoracic Surgery
Volume95
Issue number3
DOIs
Publication statusPublished - Mar 1 2013
Externally publishedYes

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Bronchi
Surgical Instruments
Biopsy
Cryotherapy
Bronchoscopy
Trachea
Squamous Cell Carcinoma
Tuberculosis
Lung

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Role of flexible bronchoscopic cryotechnology in diagnosing endobronchial masses. / Chou, Chun Liang; Wang, Chih Wei; Lin, Shu Min; Fang, Yueh Fu; Yu, Chih Teng; Chen, Hao Cheng; Kuo, Chih Hsi; Hsieh, Meng Heng; Chung, Fu Tsai.

In: Annals of Thoracic Surgery, Vol. 95, No. 3, 01.03.2013, p. 982-986.

Research output: Contribution to journalArticle

Chou, CL, Wang, CW, Lin, SM, Fang, YF, Yu, CT, Chen, HC, Kuo, CH, Hsieh, MH & Chung, FT 2013, 'Role of flexible bronchoscopic cryotechnology in diagnosing endobronchial masses', Annals of Thoracic Surgery, vol. 95, no. 3, pp. 982-986. https://doi.org/10.1016/j.athoracsur.2012.11.044
Chou, Chun Liang ; Wang, Chih Wei ; Lin, Shu Min ; Fang, Yueh Fu ; Yu, Chih Teng ; Chen, Hao Cheng ; Kuo, Chih Hsi ; Hsieh, Meng Heng ; Chung, Fu Tsai. / Role of flexible bronchoscopic cryotechnology in diagnosing endobronchial masses. In: Annals of Thoracic Surgery. 2013 ; Vol. 95, No. 3. pp. 982-986.
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abstract = "Background: Endobronchial masses obstruct the central airway, and cryotechnology is reportedly a feasible means of managing such masses. However, few reports have explored the role of cryotechnology in diagnosing endobronchial masses. Methods: All endobronchial masses were sampled for pathologic diagnosis by forceps biopsy and cryotechnology, performed during flexible bronchoscopy. The diagnostic accuracy of forceps biopsy and that of cryotherapy were compared by the χ2 test, and the obtained specimen sizes were compared by the t test. Results: Between 2007 and 2011, 75 patients with a median age of 64 years (interquartile range [IQR], 49-76; 48 men; 27 women; and 52 smokers [69.3{\%}]) were diagnosed with endobronchial masses. The sites of these masses included the trachea (n = 17), left main bronchus (n = 16), right main bronchus (n = 11), right upper lobe bronchus (n = 11), right intermediate bronchus (n = 8), right lower lobe bronchus (n = 4), left upper lobe bronchus (n = 3), left lower lobe bronchus (n = 3), and right middle lobe bronchus (n = 2). Fifty-nine lesions were malignant, and 16 were benign. Lung squamous cell carcinoma (n = 23) was the leading cause of malignancy, and endobronchial tuberculosis (n = 9) was the most common benign disease. The diagnostic accuracy of cryotechnology was significantly higher than that of forceps biopsy (100{\%} vs 69.3{\%}, p < 0.0001). The specimen size obtained by cryotechnology was also significantly larger than that obtained by forceps biopsy (13.8 ± vs 1.9 ± 0.6 mm, p < 0.0001). Conclusions: The current study supports the view that cryotechnology is a good tool for diagnosing endobronchial masses. Cryotechnology also provides a better diagnostic specimen and has greater diagnostic accuracy than traditional forceps biopsy.",
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AU - Lin, Shu Min

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AU - Yu, Chih Teng

AU - Chen, Hao Cheng

AU - Kuo, Chih Hsi

AU - Hsieh, Meng Heng

AU - Chung, Fu Tsai

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