The radiographic evaluation of endobronchial tuberculosis
10.3348/jkrs.1984.20.3.480
- Author:
Kyu Ok CHOE
- Publication Type:Original Article
- MeSH:
Academic Medical Centers;
Adult;
Amputation;
Biopsy;
Bronchi;
Child;
Diagnosis;
Female;
Hand;
Humans;
Incidence;
Phenobarbital;
Thorax;
Trachea;
Tuberculosis
- From:Journal of the Korean Radiological Society
1984;20(3):480-488
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endobronchial tuberculosis is the tuberculous affection of bronchial wall during the process of sloughing ofparenchymal necrotic material through airway. When the lesion results in complete obstruction, it resembles thefeatures of central type endobroanchial tumor. On the other hand, in the cases of incomplete obstruciton veryminimal parenchymal change, not corresponding with clinical symptoms, delays the correct diagnosis. This is the summary of 35 cases of endobronchial tuberculosis, diagnosed by bronchofiberscopy and biopsy of the lesion from1982 to 1984 June in Yonsei University Medical Center. 1. 35 patients included 9 children and 26 dults. Allchildren were less than 5 years old. In adults women accupied the majority and especially prevalent in 3rd decade.2. The findings of plain chest showed lobar collapse and/or overinflation 8 (88.9%) in children group, but lovarcollapse 13 (50%), minimal pulmonary tbc 9 (34.5%) and moderately advanced pulmonary tbc4(15.5%) in adults graoup.3. In 20 patients the bronchial lesion itself was evaluated by bronchotomogram or bronchogram. The incidence ofright and left affection was same, the each side included 10 patients. But the most frequent affected site was left main bronchus (10). In right side 6 patients showed main lesion only on lobar and/or segmental bronchi. 4.The lesion site of bronchus showed complete obstruction in 12, among which symmetric V-shape obstruction in 8,abrupt amputation in 2 and nodular protruding mass in 2. In remaining 8 incomplete obstruction 2 showed diffuseirregular nodularity 3 smooth long concentric narrowing and 3 concentric focal narrowing. 5. Proximal to thelesion, gradual and symmetric narrowing of bronchial lumen in fairly long distance was noted in 5, whichcorrespond with typcial bronchoscopic findings. The other 2 showed the extension of tuberculous lesion to the ipsilateral wall of distal trachea. 6. Distal to the lesion 12 patients showed patency of bronchial lumen, of which 6 with radiographically complete obstruction of endobronchial lesion. This maintenance of luminal patencydistal to the obstructing lesion seems to be a characteristics of endobronchial tuberculosis.
