The Value of Transbronchial Needle Aspiration Combined with Rapid On-site Evalua-tion of Cytology in the Diagnosis of Lung Cancer
10.3779/j.issn.1009-3419.2014.03.06
- VernacularTitle:经支气管镜针吸活检联合现场细胞学对肺癌诊断的临床价值
- Author:
LI KAISHU
1
,
2
;
LIU MINGTAO
;
JIANG SHUJUAN
;
OUYANG XIUHE
;
LI XINJUN
;
ZHANG YING
;
LI YANYAN
;
LI BOCHENG
Author Information
1. 256610 滨州，山东省滨州市人民医院呼吸内科
2. 250021 济南，山东大学附属省立医院呼吸内科
- Keywords:
Transbronchial needle aspiration (TBNA);
Rapid on-site evaluation (ROSE);
Lung neoplasms
- From:
Chinese Journal of Lung Cancer
2014;(3):215-220
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective There have been several studys about transbronchial needle aspiration (TBNA) combined with rapid on-site evaluation (ROSE) so far at home and abroad, yet few studys were especially for patients with lung cancer. hTe aim of our study is to investigate the effect of TBNA combined with ROSE in the diagnosis of lung can-cer. Methods hTe data of the patients from December 2012 to December 2013, who were performed with TBNA and ultimate-ly diagnosed with lung cancer in the People’s Hospital of Binzhou City, were retrospectively analyzed. hTe patients were divided into two groups, ROSE group (rapid on-site evaluation group) and no-ROSE group (the group without rapid on-site evalu-ation). Among these patients, 37 patients were in the ROSE group and 32 patients were in the no-ROSE group. hTe result of ROSE and HE stain, the diagnostic yields and needle passes of each lymph node, the complication and cytology diagnostic cost of TBNA with ROSE and without ROSE were compared. Results hTe coherence of ROSE and HE stain was 94.1%(32/34). hTe diagnostic yields of TBNA were 91.9%(34/37) and 78.1%(25/32) in ROSE group and no-ROSE group respectively, no signiifcant differences were found. But the median number of needle passes of each lymph node and the percentage of the com-plication in ROSE group and no-ROSE group was signiifcantly lower (t=29.5, P<0.05 andχ2=4.4, P<0.05, respectively). hTe cytopathological diagnostic cost of ROSE group was signiifcantly lower compared with no-Rose group (t=10.9, P<0.05). Con-clusion TBNA combined with ROSE has good concordance with HE stain in the diagnosis of lung cancer, and could reduce the needle passes, cytopathological diagnostic cost and complication, worthy of popularized.
