Diagnostic value of transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration for hilar and mediastinal lymph nodes in lung cancer patients.
- Author:
Song ZHANG
1
;
Hongli YI
;
Shujuan JIANG
;
Yuantang LI
;
Yongkang WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Biopsy, Fine-Needle; methods; Bronchi; diagnostic imaging; pathology; Endosonography; methods; Female; Humans; Lung Neoplasms; diagnosis; diagnostic imaging; pathology; Lymph Nodes; pathology; Male; Mediastinum; pathology; Middle Aged
- From: Chinese Journal of Lung Cancer 2010;13(5):447-450
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND AND OBJECTIVETransbronchial needle aspiration (TBNA) and endobronchial ultrasound-guided TBNA (EBUS-TBNA) have been applied to the diagnosis for mediastinal lymph nodes. The aim of this study is to evaluate the clinical value and safety of TBNA and EBUS-TBNA on hilar and mediastinal lymph nodes of lung cancer patients.
METHODSTwo hundred fifty patients with suspected lung cancer were enrolled. All petients with hilar and/or m lymphoadenopa-ediastinal thy found by CT scan received TBNA, biopsy and brushing. EBUS-TBNA was performed in 15 patients among them.
RESULTSLung cancer were confirmed in 180 patients by TBNA, biopsy and brushing. The positive rates were 82.86%, 51.24% and 45.45%. Fifteen patients after EBUS-TBNA had a positive rate of 91.67%.
CONCLUSIONTBNA and EBUS-TBNA were proved to be safe procedure with a high yield for the diagnosis ofhilar and mediastinal lymph nodes in lung cancer patients.