Selection of patients with hemoptysis for fiberoptic bronchoscopy

L. J. Weaver, N. Solliday, D. W. Cugell

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

One hundred ten hospitalized patients with hemoptysis were reviewed to identify factors that would characterize those with malignancy and to evaluate the usefulness of fiberoptic bronchoscopy (FB) in the diagnosis of hemoptysis. Seventy patients underwent FB. This procedure was diagnostic in 22/28 (79 percent) of the carcinoma patients and in 26/42 (62 percent) of the patients with a nonmalignant cause of hemoptysis. The following three characteristics indicate a high probability of malignancy; 1) age > 40 years, 2) any abnormality on the chest roentgenogram, 3) hemoptysis lasting > one week. If any of these factors are present, FB should be done. Other factors to be considered include presence of anemia, weight loss, persistent cough, long smoking history and risk of bronchoscopic complications.

Original languageEnglish (US)
Pages (from-to)7-10
Number of pages4
JournalCHEST
Volume76
Issue number1
DOIs
StatePublished - Jan 1 1979

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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