Skip to main content
The Egyptian Journal of Bronchology
Download PDF
  • Original article
  • Open access
  • Published:

Evaluation of lung cancer patterns and bronchoscopic presentations in patients admitted to Abbasia Chest Hospital

Egyptian Journal of Bronchology volume 13, pages 49–54 (2019)Cite this article

Abstract

Background

Lung cancer is the most common cause of cancer-related death worldwide, accounting for more cancer-related deaths compared with colon, breast, and prostate combined.

Aim

The aim of this work is to detect the predominant bronchoscopic presentations and anatomical sites for all histopathological types of lung cancer.

Patients and methods

This study was conducted prospectively in the bronchoscopy units in Abbasia Chest Hospital. It included 132 patients suspected clinically and radiologically to have lung cancer and admitted to the hospital during the period from July 2016 to March 2017. Of them, 81 patients were pathologically diagnosed as having primary lung cancer.

Statistical analysis

χ2 test was used to examine the relationship between the two qualitative variables. Student’s t test was used to assess the statistical significance of the difference between the two study group means. McNamara test was used assess the statistical significance of the difference between a qualitative variable measured twice for the same study group.

Results

A total of 81 patients (73 males and eight females) with primary lung cancer were included in the study; most of them were in the sixth decade of life. The main anatomical sites of bronchogenic carcinoma were main bronchi and lower lobe bronchi equally (24% each), followed by lower lobe bronchi (20%). Most common macroscopic bronchoscopic presentations of bronchogenic carcinoma were end bronchial lesion (46.91%) followed by external compression (12.35%) and then mucosal infiltration and external compression (9.88%).

Conclusion

Persistent pulmonary complaints like productive cough, dyspnea, chest pain, and hemoptysis should be investigated immediately. Proper screening and early diagnostic methods should be applied on a large scale to find out suspected patients who at risk to develop lung cancer.

References

  1. Andolfi M, Potenza R, Capozzi R, Liparulo V, Puma F, Yasufuku K. Diagnostic bronchoscopy in early lung cancer. J Thorac Dis 2016; 8: 3329–3337.

    Article  Google Scholar 

  2. World Cancer Report: World Health Organization,The global and regional burden of cancer. Chapter 1.1. 2014; p. 18/632.

  3. Tremblay A, Taghizadeh N, McWilliams AM, MacEachern P, Stather D, Soghrati K, et al. Low prevalence of high-grade lesions detected with auto fluorescence bronchoscopy in the setting of lung cancerscreening in the pan-Canadian Lung Cancer Screening Study. Chest 2016; 150: 1015–1022.

    Article  Google Scholar 

  4. Agarwal A, Ghotekar L, Garbyal R. Evaluation of pulmonary malignancies in Kathmandu Valley and role of bronchoscopic techniques in diagnosis of such cases. JIACM 2003; 4: 127–133.

    Google Scholar 

  5. Bekett WS. Epidemiology and etiology of lung cancer. Clin Chest Med 1993; 14: 1–15.

    Google Scholar 

  6. Ung KA, Campbell BA, Duplan D, Ball D, David S. Impact of the lung oncology multidisciplinary team meetings on the management of patients with cancer. Asia Pac J Clin Oncol 2016; 12: e298–e304.

    Article  Google Scholar 

  7. Cancer facts and Figures: American Cancer Society; Atlanta: Lung cancer deaths Inc. 2016; p. 17/72.

  8. GLOBOCON Lung cancer incidence and mortality worldwide in 2008. Available at: http://globocan.iarc.fr/factsheets/cancers/lung.asp. [Accessed 1 August 2013].

  9. Ferlay J, Brayf A, Parkin DM, Pisani P. Globocan 2000: cancer incidence, mortality and prevalence worldwide, version 10. IARC Cancer base No.5. lyon, IRAC Press. (http://www.dep.iarc.FR/globocan). fiber optic bronchoscopy on arterial oxygen saturation. J Islamic Med Assoc (USA) 2000; 32: 30–33.

    Google Scholar 

  10. Safwat T, Samy H, Helmy H. Lung cancer presentations and sites in fiber optic bronchoscopy. Cairo: Faculty of Medicine, Ain Shams University. 2017, pp. 69–89.

  11. Kshatriya RM, Khara NV, Paliwal R, Patel S. Role of flexible fiber-optic bronchoscopy in the diagnosis of pulmonary diseases in rural-based tertiary hospital. Int J Med Sci Public Health india 2016; 5: 873–876.

    Article  Google Scholar 

  12. Mazhar M, Jehanzeb ALI. Fibro optic bronchoscopy diagnostic outcome and complications in patients with hilar and para hilar lung opacities. Professional Med J 2006; 13: 384–390.

    Google Scholar 

  13. Rabahi MF, Ferreira AA, Reciputti BP, Matos TO, Pinto SA. Fiber optic bronchoscopy findings in patients diagnosed with lung cancer. J Bras Pneumol 2012; 38: 445–451.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Chest Department, Faculty of Medicine, Ain Shams University, villa 480, west golf area, 5th settlement, 11835, Cairo, Egypt

    Farrag A. Muhammad &  Diab S. Haytham MD (Assistant Professor of pulmonology)

  2. Abbasia Chest Hospital, Cairo, Egypt

    Khalaf A. Mostafa

Authors
  1. Farrag A. Muhammad
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Diab S. Haytham MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Khalaf A. Mostafa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Diab S. Haytham MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Muhammad, F.A., Haytham, D.S. & Mostafa, K.A. Evaluation of lung cancer patterns and bronchoscopic presentations in patients admitted to Abbasia Chest Hospital. Egypt J Bronchol 13, 49–54 (2019). https://doi.org/10.4103/ejb.ejb_19_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejb.ejb_19_18

Keywords