Chest
Clinical InvestigationsLUNG CANCERLong-term Outcome and Lung Cancer Incidence in Patients With Hemoptysis of Unknown Origin
Section snippets
Materials and Methods
A retrospective chart review was performed on all patients who were referred to the pulmonary department for evaluation of hemoptysis between January 1990 and December 1993. Workup and results were reviewed. All patients underwent careful bronchoscopic evaluation of the tracheobronchial tree and chest radiography. A chest CT was performed at the discretion of the evaluating pulmonary physician. All bronchoscopic examinations were performed with a fiberoptic instrument in standard fashion.
Results
Within the reviewed period, 722 patients were evaluated for hemoptysis and all charts were available for review (Table 1). Four hundred eight-seven patients (67%) were men, and 235 patients (33%) were women. The mean age was 46.7 years (SD, 13.6; range 20 to 81 years). Four hundred forty patients (61%) were classified as smokers. A clinical diagnosis of COPD was present in 213 patients (30%).
In 587 patients (81%), a source and etiology for the bleeding could be identified at the time of initial
Discussion
Hemoptysis remains a distressing symptom and, at times, a challenging diagnostic problem. Clear guidelines for the initial workup and follow-up in patients without a definitive diagnosis are missing. Mostly, this appears to be due to a lack of current available data and follow-up in large groups. The etiology for hemoptysis may vary depending on geographic location, and infections such as tuberculosis play a significant role in developing countries.89 In many countries, malignancies are the
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Cited by (79)
Idiopathic Haemoptysis and Lung Cancer: The Relevance of the Underlying Disease
2022, Archivos de BronconeumologiaPredictors of Malignancy in Patients With Haemoptysis
2022, Archivos de BronconeumologiaManaging Massive Hemoptysis
2020, ChestCitation Excerpt :In a study of 80 patients with large or massive hemoptysis, chest radiograph was able to discern the location of hemorrhage in only 46% of cases and suggested the specific cause of bleeding in only 35%.37 In a separate study of 722 patients with minor and massive hemoptysis, a new diagnosis of malignancy was made in 144 patients; of these, 35 patients (24%) had normal chest radiograph findings.40 Multidetector CT scan is superior to chest radiograph in ability to identify both the anatomic origin and underlying cause of hemorrhage and to define the course of both bronchial and nonbronchial collateral arteries.37,38,41,42
Bronchoscopy in the investigation of outpatients with hemoptysis at a lung cancer clinic
2018, Respiratory MedicineCitation Excerpt :Our study of 337 patients which includes a large modern prospective cohort presenting to a lung cancer clinic with hemoptysis has allowed us to analyze in detail the utility of investigations performed for lung cancer and investigate patient symptom and tumor types related to lung cancer in patients with hemoptysis. Given the fact that chest x-rays miss many patients with lung cancer and hemoptysis [6,7], it is routine practice that all patients undergo CT imaging. Chest CT has the ability to identify abnormalities in patients with hemoptysis secondary to lung cancer and also provide accurate staging compared to chest x-rays and standard bronchoscopy [1,8].
Lung Cancer Emergencies
2018, IASLC Thoracic Oncology