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Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in diagnosis of mediastinal lesions
| Content Provider | Semantic Scholar |
|---|---|
| Author | Santos, Ricardo Sales Dos Jacomelli, Márcia Franceschini, Juliana Pereira Suzuki, Iunis Costa, Altair Da Silva Shiang, Christina Palomino, Addy Lidvina Mejia |
| Copyright Year | 2018 |
| Abstract | OBJECTIVE To describe the results of endobronchial ultrasound-guided transbronchial needle aspiration in making diagnosis of mediastinal injuries associated to different causes. METHODS A retrospective cross-sectional study of patients submitted to Endobronchial ultrasound-guided transbronchial needle aspiration at a private organization, between June 2013 and October 2016. All cases referred for collection of lymph nodes or peritracheal/peribronchial masses by endobronchial ultrasound-guided transbronchial needle aspiration, and evaluated through tomography or PET-CT were included. Interventional pulmonologists and thoracic surgeons with experience in the method did the procedures. Rapid on-site evaluation of fine needle aspiration was performed by an experienced pathologist. Material analysis included cytological smear and cytopathological analysis of paraffin-embedded cell blocks. Other specific analyses (immunocytochemistry, tests and cultures of infectious agents) were performed whenever necessary. RESULTS We included 72 patients; 6 were excluded for presenting endobronchial lesions in which bronchoscopic biopsy could be performed, or intrathoracic lesions that were not accessible by endobronchial ultrasound-guided transbronchial needle aspiration. The mean age of 66 patients included for analysis was 61.17 years (±14.67 years), with a predominance of males (64%). Endobronchial ultrasound-guided transbronchial needle aspiration was definitive for diagnosis in 60 cases (91%). Three cases (4.5%) had inconclusive test results. There were no major complications related to the procedure. CONCLUSION Endobronchial ultrasound-guided transbronchial needle aspiration had a high diagnosis yield, with minimal morbidity, being an excellent option for diagnostic approach of patients with lymphadenopathy or intrathoracic lesions, and for neoplasm staging. |
| File Format | PDF HTM / HTML |
| DOI | 10.1590/S1679-45082018AO4094 |
| Alternate Webpage(s) | http://www.scielo.br/pdf/eins/v16n2/1679-4508-eins-16-02-eAO4094.pdf |
| Alternate Webpage(s) | http://www.scielo.br/pdf/eins/v16n2/pt_1679-4508-eins-16-02-eAO4094.pdf |
| PubMed reference number | 29768518 |
| Alternate Webpage(s) | https://doi.org/10.1590/S1679-45082018AO4094 |
| Journal | Medline |
| Volume Number | 16 |
| Journal | Einstein |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
