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Forty one patients underwent bronchoscopic fine needle aspiration and biopsy of visible endobronchial lesions. Adequate materials for opinion was obtained in 38 (92.7%) aspirates and all biopsies. 13 aspirates (31.7%) and 28 biopsies (68.3%) were diagnostic. Only one patient with a necrotic endobronchial growth was diagnosed exclusively by needle aspiration. Overall, this procedure did not add significantly to the results obtained on biopsy. Routine needle aspiration of visible endobronchial lesions is not useful except in certain specific situations.