
Diffuse Parenchymal Lung Diseases with Clinicoradiological Discordance-: Role of Transbronchial Lung Biopsy as a Diagnostic Tool - An Observational Study
Author(s) -
K P Suraj,
Kiran Vishnu Narayan,
Jyothi Edakalavan,
Neethu Kesava Kumar
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/21851.8817
Subject(s) - medicine , radiology , medical diagnosis , biopsy , sampling (signal processing) , lung biopsy , filter (signal processing) , computer science , computer vision
The diagnosis of Diffuse Parenchymal Lung Disease (DPLD) requires a multidisciplinary approach with reconciliation of clinicoradiological and histopathological data. But when the preliminary clinicoradiological profile fails to suggest a diagnosis, an adequate lung biopsy specimen with meticulous histological examination and a multidisciplinary approach usually yields results. There is also a high chance of sampling error due to patchy and heterogeneous involvement of the disease process and due to the small volume of tissue taken. As seen in our study, Trans-Bronchial Lung Biopsy (TBLB) if performed by an experienced bronchoscopist can be done as an outpatient procedure yielding adequate specimens for diagnosis and guide effective treatment in these patients.