DR RSOWMYA,DR SRIDEVI M,DR. V. SREEDEVI
DOI: https://doi.org/Overview: Proactive and meticulous clinical impression of pulmonary irregularities is vital to develop therapeutic strategies. While Endobronchial Tissue Sampling, Bronchial Brushings, Washings serve as the primary that offer valuable supplementary insight—particularly when tissue retrieval is constrained or when cytological evaluation offers earlier results than histopathology. This investigation evaluates the diagnostic effectiveness and pathological landscape of bronchial brush, wash, and biopsy samples.
Methods: Using Simple Random Sampling, a total of 100 patients undergoing Endobronchial Tissue Sampling with suspicious pulmonary lesions were selected. Cases presenting with respiratory symptoms after general examination, radiological assessment, and pathological findings were scrutinized and information was compiled and organized for further data analysis
Results: In this study of 100 patients with suspected lung lesions, male predominance (60%) and peak incidence in the 41–60 age group were observed. Cough was the most frequent symptom. Bronchial biopsy showed the highest diagnostic concordance (96.8%), followed by brush cytology (89.5%) and wash cytology (79.4%). Diagnostic success varied by lesion location, with central lesions being most accessible. Squamous cell carcinoma was the most common malignancy in older patients. Findings affirm the complementary roles of cytology and histology in lung lesion evaluation.
Conclusion: Endobronchial Tissue Sampling remains the most robust and handy tool, but combining all modalities enhances the overall diagnostic efficiency. Correlation with radiological and clinical features improves diagnostic confidence and guides targeted management.