Endobronchial tuberculosis (ETB) is most often a complication of prima
ry pulmonary tuberculosis in children, although it may also occur in a
dults, Bronchoscopically, mass lesion (polypoid and ulcerous granuloma
), submucosal infiltration and fibrostenosis may usually be seen. 50 E
TB cases were diagnosed by bronchial biopsy, bronchial fine needle asp
iration and washing. Bronchoscopically, mass lesions were found in 31
cases (62%), 21 (42%) of which were ulcerous granulomas and 10 (20%) p
olypoid mass, while 11 (22%) cases were of submucosal infiltrative app
earance, 16 (32%) fibrostenosis and 5 (10%) hyperaemia and oedema. The
diagnosis could be made in 42 cases with bronchial biopsy, whereas on
ly in 8 cases with bronchial fine needle aspiration. Statistically, th
erefore, the bronchial biopsy vias found to be significantly more adva
ntageous as compared to the other diagnostic methods for the diagnosis
of ETB (p < 0.0001).