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Endoskopische Diagnostik des Bronchialkarzinoms

Endoscopic diagnosis of bronchogenic carcinoma

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Zusammenfassung

Die Bronchoskopie ist ein wenig invasiver, aber therapiebestimmender diagnostischer Eingriff. Abhängig von Tumorlokalisation und -größe schwanken die Trefferquoten bioptischer Entnahmetechniken zwischen 30 und 90%, dies auch in neueren Untersuchungen. Die zur Verfügung stehenden Entnahmeverfahren sind Bürstenabstriche, Spülflüssigkeiten, Nadelaspirate, endobronchiale und transbronchiale Biopsien. Ziel der vorliegenden Übersicht ist, Indikationen, Wert der bioptischen Verfahren, Vermeidung von Komplikationen und einen Ausblick auf evtl. kommende Techniken aufzuzeigen.

Abstract

Bronchoscopy is a less invasive, but therapy-determining diagnostic procedure. Depending on tumor localization and size, the diagnostic yield varies between 30 and 90%, even in recent investigations. The diagnostic techniques used are brushing, rinsing and needle aspirations as well as endobronchial and transbronchial lung biopsies. The aim of the reviews here is to point out the value of indications, diagnostic techniques and avoidance of complications, with a overview on possibly upcoming techniques.

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  1. Abteilung Innere Medizin/Pneumologie, Thoraxklinik am Universitätsklinikum Heidelberg

    F. J. F. Herth

  2. Abteilung Innere Medizin/Pneumologie, Thoraxklinik am Universitätsklinikum Heidelberg, Amalienstraße 5, 69126 , Heidelberg

    F. J. F. Herth

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Correspondence to F. J. F. Herth.

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Herth, F.J.F. Endoskopische Diagnostik des Bronchialkarzinoms. Pneumologe 2, 83–91 (2005). https://doi.org/10.1007/s10405-005-0028-1

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