Diagnostic value of transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration for hilar and mediastinal lymph nodes in lung cancer patients

• Published in: Zhongguo fei ai za zhi Vol. 13; no. 5; pp. 447 - 450
• Main Authors: Zhang, Song, Yi, Hongli, Jiang, Shujuan, Li, Yuantang, Wang, Yongkang
• Format: Journal Article
• Language: Chinese
• Published: China 01.05.2010
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Biopsy, Fine-Needle - methods; Bronchi - diagnostic imaging; Bronchi - pathology; Endosonography - methods; Female; Humans; Lung Neoplasms - diagnosis; Lung Neoplasms - diagnostic imaging; Lung Neoplasms - pathology; Lymph Nodes - pathology; Male; Mediastinum - pathology; Middle Aged
• ISSN: 1009-3419
• DOI: 10.3779/j.issn.1009-3419.2010.05.13

Transbronchial 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. Two 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. Lung 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%. TBNA 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.