Endobronchial ultrasound with real-time guided transbronchial needle aspiration (EBUS-TBNA) plays an important role in the minimally invasive diagnosis of pulmonary lesions and mediastinal lymphadenopathy.From December 2005 to May 2011 we have performed 190 procedures, during which 454 biopsies were performed on a total of 239 lesions (218 lymph nodes and 21 pulmonary lesions), with an average of 2.4 biopsies for each procedure. Most frequently biopsied were the subcarenal lymph nodes (204 biopsies in total). The procedure was performed in local anesthesia and sedation.On the 190 patients that underwent the procedure, a diagnosis was reached in 164 patients (87%), 110 of which ultimately resulted positive for neoplastic disease (76 NSCLC, 19 SCLC, 3 other types of primitive lung tumors, 9 metastasis from other organ cancer, 2 lymphoproliferative disorders). 54 patients did not present malignancy (8 of which were false negatives). All the 26 cases that resulted non diagnostic later underwent surgical biopsy (mediastinoscopy, thoracoscopy). The procedure was well tolerated by most patients, with an incidence of minor complications rate of 3%.Endobronchial ultrasound with real-time guided transbronchial needle aspiration (EBUS-TBNA) has proved to be a very useful method in the diagnosis and staging of pulmonary and extra-pulmonary malignancy, especially considering the fact that it is a minimally invasive procedure with a relatively short learning curve, which has a low incidence of complications, is well tolerated by the patient and permits an earlier discharge from the hospital ward.
|Titolo:||Endobronchial ultrasound with real-time guided transbronchial needle aspiration for diagnosis and staging of lung and extrapulmonary malignancies : a monocentric case study|
SANTAMBROGIO, LUIGI (Ultimo)
|Data di pubblicazione:||ott-2011|
|Settore Scientifico Disciplinare:||Settore MED/21 - Chirurgia Toracica|
|Citazione:||Endobronchial ultrasound with real-time guided transbronchial needle aspiration for diagnosis and staging of lung and extrapulmonary malignancies : a monocentric case study / M. Reda, I.F. Nataloni, M. Di Pasquale, N. Filippi, G. Basilico, P. Mendogni, E. Fiorini, L. Santambrogio. ((Intervento presentato al 24. convegno Congresso Nazionale S.P.I.G.C., Società polispecialistica italiana dei giovani chirurghi tenutosi a Napoli nel 2011.|
|Appare nelle tipologie:||14 - Intervento a convegno non pubblicato|