Clinical Application of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Biopsy for the Diagnosis of Superior Vena Cava Obstruction Syndrome
10.3779/j.issn.1009-3419.2013.09.08
- VernacularTitle:EBUS-TBNA在上腔静脉阻塞综合征诊断中的临床应用
- Author:
HUA XIONGHUAI
1
;
ZHANG WEI
;
FENG HUIMIN
;
WEI XIUFENG
;
QIAO SIJIE
;
LI YIN
Author Information
1. 河南省肿瘤医院胸外科
- Keywords:
Endobronchial ultrasound-guided transbronchial needle aspiration;
Superior vena cava obstruction syndrome;
Clinical application
- From:
Chinese Journal of Lung Cancer
2013;(9):482-486
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Mediastinal lymphoma or right upper lung cancer is a common cause of superior vena cava obstruction syndrome (SVCOS). Endobronchial ultrasound-guided needle aspiration (EBUS-TBNA) biopsy is applied for the diagnosis of mediastinal mass disease. hTe aim of this study is to explore the safety and feasibility of EBUS-TBNA biopsy under general anesthesia for the clinical diagnosis of SVCOS. Methods Twenty-ifve cases of SVCOS re-ceived EBUS-TBNA under general anesthesia between June 2012 and June 2013. hTe group consisted of 16 male and 9 female patients aged 33 years to 76 years, with a median age of 62.5. Results Twenty-four cases were conifrmed to be of malignant pathology, and one case failed to yield a clear pathological diagnosis. No patient experienced any complications related to the operation, such as heavy bleeding and pneumothorax. Conclusion For patients presenting with SVCOS, EBUS-TBNA under general anesthesia is a safe and reliable inspection method of high diagnostic yield. hTis method can be used for routine exami-nation when other means cannot obtain clear pathological diagnosis.
