Newer procedures using the fiberoptic bronchoscope in the diagnosis of lung cancer1
Atul C. Mehta, M.D.
Muzaffar Ahmad, M.D.
Carlos Nunez, M.D.
Joseph A. Golish, M.D.
The overall survival rate from lung cancer is barely over 10%, and in the last 25 years there has been no major therapeutic advancement. Chemotherapy has extended the survival among patients with small cell carcinoma by a few months, while resectional lung surgery remains the only curative procedure for other types. Making the diagnosis at the first suspicion of the disease, while it is still in a limited stage or resectable, is currently the only hope to improve the outcome of bronchogenic carcinoma. Fiberoptic bronchoscopy is a high-yield and noninvasive means of diagnosing this condition. The present article is a review of newer tests being developed to increase the utility of fiberoptic bronchoscopy in diagnosing and staging of bronchogenic carcinoma.