During 2016 we have made 167 survey bronchoscopy (101 males & 66 females),they
had been done by flexible fibroscope (pentaxTM) slim diameter .
Patients has prepared for the endoscopy by local anesthesia on nose ,pharynx and
larynx using Lidocaine
.In few particular cases , the sedation has been done by Midazolam
(5mg) intravenous .
The endoscopy's tolerance was good and no complication that require recovery
occurred .
The indications of the endoscopy were suspected malignancy, 49 cases had
diagnosed in the rate of 56.3%. The disorders had been diagnosed and isolated in the case
of suspected infections in 11 patients in the rate of 45.8%.The tuberculosis had been
diagnosed in 9 patients in the rate of 42.8%.
In hemoptysis cases ,bleeding site and causing factor had causing factor had been
detected in 12 patients in rate of 63%.
In chronic cough cases, the diagnosis had been confirmed in 4 patients in the rate of
50%.
In case of interstitial pulmonary lesions , the diagnosis had been confirmed in 4
patients in the rate of 50%.
After the study ,we emphasize the importance of broncoscopy as survey diagnostic
instrument especially in malignancy cases , other negative tests (blood, sputum ), suspected
infections , tuberculosis ,hemoptysis cases and interstitial lesions .Especially it is external
good tolerances procedure with rare complication.
The study concluded 156 patients having thyroid nodes. All the patients checked up
in Assad university hospital in Lattakia between 2008-2012. The majority of patients
having thyroid nodes were 133 females a 85,26% compared to 23 male patients a 14
,74%.
Most patients are young approximatelyin their forties'. 78,21% of patients complained
about having an enormity in the upper side of their necks. All clinical and Ultrasound
examinations were conducted on all patients. The clinical examination was the answer to
diagnosis. From the other hand the Ultrasound examination was more accurate and
reliable. Fine-Needle Aspiration (FNA) was done for 30 patients and it was directed to 18
patients, but the result was negative for the rest. All tissue samples, which were taken
while surgery, were studied and the result was , most nodes were not tumors, as tumors
were only discovered in 23 patients a 14,74% and the majority of those tumors were
papillary carcinoma.
The study concluded that thyroid node in male patients has a higher chance to be a
tumor by (2:1),after studying the tumors spread according to age and sex factors compared
to the spread of thyroid node according to the same factors. In addition,the study concluded
that the possibility of having thyroid nodesbecomes bigger as one gets older.Ther is no
relation between the size of thyroid node and it's malignancy.
