Evaluation of bronchoscopic signs of the patients working in coal mines Kömür madeninde çalişan hastalarin bronkoskopik bulgularinin deǧerlendirilmesi

Soǧukpinar Ö., ÖZVARAN M. K., Haciömeroǧlu O., Kargin F., Uǧur Chousein E. G., Baran R.

Goztepe Tip Dergisi, vol.27, no.3, pp.112-118, 2012 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 3
  • Publication Date: 2012
  • Doi Number: 10.5222/j.goztepetrh.2012.112
  • Journal Name: Goztepe Tip Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.112-118
  • Keywords: Coal worker, Pneumoconiosis, Progressive massive fibrosis
  • Istanbul Medipol University Affiliated: Yes


Objective: The aim of the study is to evaluate fiberoptic bronchoscopic signs especially in mine workers with progressive massif fibrosis (PMF) during diagnostic work-up. Material and methods: We evaluated clinical examination, radiological and bronchoscopic data of 22 patients who had worked in coal mines between 2003 and 2006. Results: Medical files of 22 male patients aged between 43 and 83 with a mean age of 66.4±9.37 years were investigated. Fifteen (68.2 %) were smokers. Duration of coal mine exposure was 2I.5±9 years. Six (27.3 %) patients were asymptomatic and the others had mainly coughs, expectoration of sputum and dyspnea. The radiological signs were as follows: PMF (n:22;100 %),fibrotic pattern (n:21;95.4 %), reticular nodules (n:20;90 %), micronodutes (n:17;77.2 %). calsificated hilus node (n:17;77.2 %), interstitial pattern (n:16;72.7 %), pleural thickening (n:16;72.7 %), macro nodules (n:15;68.1 %), bullae and emphysematous areas (n:9;40.9 %), pleural calsi-fications (n:6;27.2 %), and alveolar opacities (n:4;18.1 %). The bronchoscopic signs were bronchial stenosis (77.2 %), scar antracotic deformity of bronchi (72.7 %), diffuse atrophy and pale bronchial mucosa (63.6 %), antracotic plaques (63.6 %), diffuse bronchial inflammatory appearance (50 %), enlarged main and/or lobe carina (40.9 %), black-gray sputum (13.6 %), and bronchial mucosa atrophy (4.5 %). Conclusion: You should keep in mind that during diagnostic work-up of mine workers with PMF, indirect tumor signs can be detected during broncoshoscopic procedures..