Abstract
To assess the role of transbronchial needle aspiration (TBNA) in diagnosing intrathoracic tuberculous lymphadenitis (TB-LA). In a tertiary referral center for thoracic medicine and surgery, using a CT scan as a guide, transbronchial aspirates were obtained with a 19-gauge flexible histology needle in consecutively enrolled patients with sputum smears negative for acid-fast bacilli, and with isolated mediastinal or hilar adenopathy suspicious for tuberculosis (TB). Of 84 eligible patients who were all found to be HIV-negative, 63 (75%) cases of TB were diagnosed by TBNA (histology, 48 patients [76%]; cytology, 9 patients [14%]; and bacteriologic studies, 21 patients [33%; smear, 8 patients; culture, 17 patients]). TBNA was used to diagnose sarcoidosis in two patients, angioimmunoblastic lymphadenopathy in one patient, and Hodgkin lymphoma in one patient. In the 17 TBNA-negative patients, the results of transthoracic needle aspiration were positive in 12 patients (TB, nine patients; lung cancer, two patients; sarcoidosis, one patient), the results of mediastinoscopy were positive in three patients (TB, two patients; Hodgkin lymphoma, one patient), and the results of thoracotomy were positive in two patients (TB, two patients). Th...Continue Reading
References
Jan 1, 1992·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·E R SalomaaE Tala
Dec 1, 1991·Chest·K M Baron, C P Aranda
Jan 1, 1991·Diagnostic Cytopathology·S M QadriM A Ali
May 1, 1990·Thorax·G Julià SerdàP Cabrera Navarro
Oct 1, 1989·Danish Medical Bulletin·J D LundgrenJ H Shelhamer
Dec 1, 1989·Chest·A C MehtaC Nunez
Dec 1, 1989·Chest·E M HarrowA M Smith
Jul 1, 1989·Respiratory Medicine·K K Khoo, J Meadway
Apr 1, 1989·The Annals of Otology, Rhinology, and Laryngology·K P WangP B Terry
Oct 1, 1989·Archives of Internal Medicine·T ModilevskyP F Barnes
Jul 1, 1987·Chest·D A SchenkD L Myers
Aug 1, 1988·Southern Medical Journal·J H WoodringC Lee
Feb 1, 1988·Chest·S C ChangR P Perng
Dec 1, 1985·Chest·K P Wang
Oct 1, 1984·Chest·D A SchenkC A Christian
Nov 1, 1994·Chest·J KhanM Bazarbashi
Sep 1, 1994·Chest·C F MoralesD A Schenk
May 1, 1993·The American Review of Respiratory Disease·D A SchenkS M Tomski
May 1, 1993·Chest·S M PastoresW N Rom
Oct 1, 1995·AIDS·J L CalpeC H Larramendi
Jan 1, 1996·Thorax·R BaranH Türker
Jun 25, 1998·American Journal of Respiratory and Critical Care Medicine·T J HarkinW N Rom
Nov 18, 1998·Respiration; International Review of Thoracic Diseases·S BilaçeroğluK Perim
Feb 15, 2000·American Journal of Respiratory and Critical Care Medicine·E M HarrowA C Mehta
Dec 4, 2002·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·V C C ChengK Y Yuen
Citations
Jul 21, 2004·Journal of Endourology
Sep 11, 2009·Respirology : Official Journal of the Asian Pacific Society of Respirology·Daniel P SteinfortLouis B Irving
Jun 25, 2010·Respirology : Official Journal of the Asian Pacific Society of Respirology·Mario GomezMarc A Judson
Aug 5, 2011·Thorax·Neal NavaniSam M Janes
Nov 19, 2013·Internal Medicine·Yoshinobu HataKeigo Takagi
May 17, 2011·Annals of Thoracic Medicine·Elif KupeliFusun O Eyuboglu
Dec 25, 2013·Annals of the American Thoracic Society·Atul C Mehta, Ko-Pen Wang
Oct 17, 2014·Journal of Bronchology & Interventional Pulmonology·Ritesh Agarwal, Dheeraj Gupta
Oct 1, 2011·Journal of Bronchology & Interventional Pulmonology·Ali I Musani
Apr 24, 2013·Journal of Bronchology & Interventional Pulmonology·Sergio CampainhaJoão Moura Sá
Sep 17, 2013·The Annals of Thoracic Surgery·Jiayuan SunBaohui Han
Sep 25, 2008·Chest·Tung-Ying ChaoMeng-Chih Lin
Oct 30, 2010·Chest·Rocco TrisoliniMarco Patelli
Jan 1, 2007·Medical Journal, Armed Forces India·S P RaiR K Choudhary
May 10, 2011·Revue des maladies respiratoires·C Delacourt
Sep 18, 2010·Medicina clínica·Juan Pablo HorcajadaJulià González-Martín
Apr 1, 2008·The Journal of Thoracic and Cardiovascular Surgery·Rocco TrisoliniMarco Patelli
Jan 17, 2007·Disease-a-month : DM·Angeline A Lazarus, Bennett Thilagar
Aug 19, 2010·Pediatric Pulmonology·P GoussardS Andronikou
Oct 17, 2009·Cytopathology : Official Journal of the British Society for Clinical Cytology·Y SongürA Akkaya
May 31, 2006·The Journal of Thoracic and Cardiovascular Surgery·Charalambos ZisisIon Bellenis
Jan 24, 2006·Gastrointestinal Endoscopy·Kay-Leong KhooT K Lim
May 6, 2015·Diagnostic Cytopathology·Daniel R De WetAndreas H Diacon
Jul 17, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Wei LiWenjia Peng
Dec 6, 2006·Respiratory Medicine·Hiroaki SatohMorio Ohtsuka
Apr 5, 2017·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Jinwoo LeeYoung Sik Park
Dec 16, 2017·The European Respiratory Journal·Ernst EberFabio Midulla
Apr 16, 2020·Diagnostic Pathology·Hui ShenYang Xia
Jan 30, 2018·Thoracic Cancer·Xiaodong WuQiang Li
May 24, 2020·Lung India : Official Organ of Indian Chest Society·Anant MohanT P Rajagopal
Nov 30, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Benan ÇağlayanGülsen Saraç
Mar 27, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Rocco TrisoliniDaniel A Culver
Apr 3, 2009·Critical Care Nurse·Nancy A Knechel
Jan 30, 2021·Expert Review of Respiratory Medicine·P GoussardJ T Janson
Jul 7, 2020·Pulmonology·M MondoniG Sotgiu
Mar 18, 2017·Microbiology Spectrum·Alan D L Sihoe
Aug 24, 2021·Therapeutic Advances in Infectious Disease·Pierre GoussardJacques Janson