Punção aspirativa transbrônquica guiada por ecoendoscopia brônquica no diagnóstico e estadiamento de cancro do pulmão em 179 doentes

Translated title of the contribution: Endobronchial ultrasound-guided transbronchial needle aspiration for lung cancer diagnosis and staging in 179 patients

A. Bugalho, D. Ferreira, R. Barata, C. Rodrigues, S.S. Dias, F. Medeiros, E.L. Carreiroa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Linear endobronchial ultrasound-guided transbronchial needle aspiration (EBUSTBNA) is an important minimally invasive procedure for non-small cell lung cancer (NSCLC) staging. It is also a valid method for diagnosing extraluminal lesions adjacent to the tracheobronchial tree. Aim: To evaluate our EBUS-TBNA performance regarding diagnostic yield, safety and learning curve for lung cancer diagnosis and staging. Material and methods: All patients undergoing EBUS-TBNA for lung cancer diagnosis or staging were included. They were divided into three different groups: paratracheal and parabronchial masses sent for diagnosis (Group 1); peripheral lung lesions with abnormal mediastinal lymph nodes sent for diagnosis and staging (Group 2); NSCLC patients sent for mediastinal staging (Group 3). The learning curve was assessed for yield, accuracy, procedure time, size and number of lesions punctured per patient. Results: A total of 179 patients were included and 372 lesions were punctured. The overall yield and accuracy were 88% and 92.7%, respectively. In Group 1, EBUS-TBNA was performed in 48 patients and sensitivity was 86.1% and accuracy was 87.5%. For the 87 patients included in Group 2, yield was 86.7%, accuracy was 93.1% and cancer prevalence was 51.7%. The diagnostic yield and accuracy in Group 3 was 95% and 97.7% respectively. EBUS-TBNA practice led to an increase number of sites punctured per patient in a shorter time, without complications. Conclusion: EBUS-TBNA is an effective method for diagnosing and staging lung cancer patients. The procedure is clearly safe. Handling and performance improves with the number of procedures executed. © 2012 Sociedade Portuguesa de Pneumologia.
Translated title of the contributionEndobronchial ultrasound-guided transbronchial needle aspiration for lung cancer diagnosis and staging in 179 patients
Original languagePortuguese
Pages (from-to)192-199
Number of pages8
JournalRevista Portuguesa de Pneumologia
Volume19
Issue number5
DOIs
Publication statusPublished - 2013

Keywords

  • Diagnosis
  • Endobronchial ultrasound
  • Fine needle aspiration
  • Learning curve
  • Lung cancer
  • Staging
  • accuracy
  • article
  • cancer diagnosis
  • cancer staging
  • diagnostic value
  • endobronchial ultrasonography
  • human
  • learning curve
  • lung cancer
  • lung non small cell cancer
  • major clinical study
  • mediastinum lymph node
  • peripheral lung lesion
  • prevalence
  • safety
  • tracheobronchial tree
  • transbronchial aspiration
  • Curva de aprendizagem
  • Diagnóstico
  • Ecoendoscopia brônquica
  • Estadiamento
  • Neoplasia do pulmão
  • Punção aspirativa
  • Adult
  • Aged
  • Aged, 80 and over
  • Bronchi
  • Bronchoscopy
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration
  • Female
  • Humans
  • Lung Neoplasms
  • Lymphatic Metastasis
  • Male
  • Mediastinum
  • Middle Aged
  • Neoplasm Staging
  • Prospective Studies

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