Endobronchial ultrasound-guided transbronchial needle aspiration in the staging of lung cancer patients

SAGE Open Medicine
Dariusz DziedzicTadeusz Orlowski

Abstract

Mediastinoscopy as diagnostic procedure for evaluation of mediastinum in patients with non-small-cell lung cancer has long been considered the reference standard. However, less invasive method has occurred. Endobronchial ultrasound-guided transbronchial needle aspiration came into widespread use and has resulted in controversy as to whether it is a good replacement for mediastinoscopy. We chose to demonstrate the usefulness of endobronchial ultrasound-guided transbronchial needle aspiration in evaluating the mediastinum in patients with non-small-cell lung cancer. Over a 48-month period, 1841 patients underwent endobronchial ultrasound-guided transbronchial needle aspiration at our healthcare centre. In all patients, 2964 biopsies from the lymph node group N2 and 783 from group N1 were taken. The mean short axis of the lymph nodes biopsied was 2.0 (range: 0.6-2.6). The mean number of lymph node stations biopsied per patient was 2.6. Patients with a negative result of endobronchial ultrasound-guided transbronchial needle aspiration underwent mediastinoscopy. All patients with a negative result in endobronchial ultrasound-guided transbronchial needle aspiration and mediastinoscopy underwent surgical resection with lymph node samp...Continue Reading

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Citations

Jul 25, 2019·Interactive Cardiovascular and Thoracic Surgery·Levent CanseverMehmet Ali Bedirhan

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Methods Mentioned

BETA
biopsy
surgical resection
biopsies
light microscopy
dissection

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