A 60 yr old man is suspected of having bronchogenic ca; TB has been ruled out in this pt. What should be the next investigation :
Answer is B (Bronchoscopy and biopsy): This patient represents a case of suspected bronchogenic carcinoma. Fibreoptic bronchoscopy and biopsy is the investigation of choice as it allows direct visualization of the tumor mass and provides a means of obtaining tumor tissue for histological diagnosis. HRCT is the alternate investigation but should be done if no specific diagnosis is suggested on bronchoscopy.
CT guided FNAC
Bronchoscopy and biopsy
Sputum cytology
X-Ray chest.