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Biomedical subjects

A Debeljak

Publications and source records attributed to A Debeljak.

At least 19 recordsLinked to original sources
PubMed1999

Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974-1998.

The authors reviewed their experience with therapeutic bronchoscopy for removal of tracheobronchial foreign bodies in the adult. Bronchoscopy records and collection of foreign bodies in the endoscopic department were retrospectively examined. Among 37,466 bronchoscopies performed between 1974-1998, 62 (0.2%) were performed for the removal of tracheobronchial foreign bodies. Medical history was suggestive of foreign body aspiration in 33 patients and the chest radiograph was suggestive in 10 patients. The procedure was performed with the flexible bronchoscope in 42 patients (68%), rigid bronchoscope in 4 (6%), and with both in 16 (26%) patients. Foreign bodies were found in the right bronchial tree on 42 occasions, in the left on 20 and in the trachea once. In 39 patients, inflammatory granulations were found around the foreign body. The origins of the foreign bodies included: bone fragments (n=31), vegetable (n=10), broncholith (n=8), a part of dental prosthesis (n=7), endodontic needle (n=2), a metallic (n=2), or plastic (n=1) particle, a tracheostomy tube (n=1) and a match (n=1). In one patient, 2 foreign bodies were found. The foreign bodies were successfully removed in all but 2 patients (3%). The most useful instruments for removal were alligator forceps and the wire basket. Foreign bodies in the tracheobronchial system are rare in adults. They can be successfully removed in the majority of patients under either flexible or rigid bronchoscopy.

Adolescent↗
PubMed1994

Cytology of bronchoalveolar lavage in some rare pulmonary disorders: pulmonary alveolar proteinosis and amiodarone pulmonary toxicity.

Cytological patterns of bronchoalveolar lavage (BAL) in pulmonary alveolar proteinosis (PAP) and amiodarone pulmonary toxicity (APT) are presented together with light and electron microscopy (EM). The differential cell count of BAL in both diseases is similar in that alveolar macrophages predominate. However, the cytology of PAP is characterized by scanty macrophages and alveolar epithelial cells in abundant periodic acid-Schiff (PAS)-positive extracellular material. The gross appearance of the BAL fluid is therefore opaque. In contrast, the cytology of APT is characterized by foamy alveolar macrophages with numerous lamellar bodies in their cytoplasm, and the BAL fluid is clear.

Amiodarone↗
PubMed1994

Bronchoalveolar lavage in the diagnosis of peripheral primary and secondary malignant lung tumors.

The success rate of cytological examination of the bronchoalveolar lavage fluid (BALF) in patients with primary or metastatic lung tumors varies considerably according to different authors. In a prospective study, we have tried to establish the sensitivity of BAL in comparison with both transbronchial lung biopsy (TBB) and brushing. BAL was performed in 61 patients with lung malignancies and in 56 patients with nonmalignant lung disease: 39 patients had primary lung cancer, 22 had metastatic spread into the lungs. First the part of the lung involved was washed out with 100 ml physiological saline solution during bronchoscopy. Following BAL, 5 TBB and brushing were performed. The smears were stained by the May-Grünwald-Giemsa method. Malignant cells were found in BALF from 17 patients, in TBB specimens from 43 and in brushing smears from 26. TBB was significantly the most successful method applied. Malignant cells were never found in BALF only, nor were they ever found in patients with non-malignant lung disease. The sensitivity of the three methods was equal for primary as compared to metastatic tumors and for interstitial infiltrates as compared to coin lesions. Malignant cells were most frequently found in centrifuged specimens. BAL may be used in suspected malignant interstitial or rounded pulmonary infiltrates when it cannot be reached by forceps or brush, or when TBB and brushing are contra-indicated.

Adenocarcinoma↗
PubMedDate not supplied

[Farmer's lung].

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Adrenal Cortex Hormones↗
PubMedDate not supplied

[The role of pleural effusion cytology in the diagnosis of malignancies].

During 6 yrs' period the malignant or suspicious cells were found in 219 patients. The male to female ratio was 1.2:1. The youngest patient was 21 yrs old, the oldest 92. Most patients were from the age group 55-64 yrs. The most frequent primary localisation of cancer with cytologically positive or suspicious pleural effusion was lung, on the second place was breast cancer in females and pleura in males. In 11.4% of patients the cytologic finding was suspicious. Most frequently the cells of mesothelioma could not be classified with certainty. In 94 patients the malignant cells were found in pleural effusion and also in any other kinds of material. In 125 patients the other materials were not examined or they were negative. In 76 patients apart from cytological examination of pleural effusion the histological examination of the material obtained by blind needle biopsy or by thoracoscopy was examined. Cytology was positive in 67.1% of cases and histology in 89.5%.

Adult↗