2003
DOI: 10.1159/000075210
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Diagnostic Yield of Transbronchial Histology Needle Aspiration in Patients with Mediastinal Lymph Node Enlargement

Abstract: Background: Transbronchial needle aspiration (TBNA) is a safe, minimally invasive technique to assess the mediastinal spread of lung cancer. Excellent results have been published by experts. However, little information is available about the diagnostic yield of TBNA with the histology needle in a non-expert center. Objectives: The aim of this study is to assess the diagnostic yield of histology TBNA in the workup of suspected lung cancer. Methods: In a non-university teaching hospital, TBNA data from patients … Show more

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Cited by 51 publications
(37 citation statements)
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“…3) It is a cost-effective procedure which may diagnose N3 disease in an important number of cases, and consequently avoid mediastinoscopy (1,550J in our hospital) [6]. 4) From the patient's point of view, if TBNA performed during the necessary bronchoscopy is diagnostic, no additional endoscopic procedures are needed.…”
Section: To the Editorsmentioning
confidence: 96%
See 1 more Smart Citation
“…3) It is a cost-effective procedure which may diagnose N3 disease in an important number of cases, and consequently avoid mediastinoscopy (1,550J in our hospital) [6]. 4) From the patient's point of view, if TBNA performed during the necessary bronchoscopy is diagnostic, no additional endoscopic procedures are needed.…”
Section: To the Editorsmentioning
confidence: 96%
“…However, they forget to mention transbronchial needle aspiration (TBNA), a technique known since 1949 [3], which has been used with the flexible bronchoscope since 1979 [4]. This nonultrasound-guided procedure has a diagnostic sensitivity of .70% in many studies [5][6][7].…”
Section: To the Editorsmentioning
confidence: 99%
“…TBNA is a minimally invasive staging procedure, which is able to preclude the need for additional staging for the mediastinum [4], and is cost-effective if performed during the first diagnostic bronchoscopy in all patients with suspected lung cancer [13]. It is an underused technique, despite its indisputable advantages [14].…”
Section: Discussionmentioning
confidence: 99%
“…A more recent study by an experienced endobronchial ultrasound group reports that 94% of lymph nodes were successfully sampled via the use of endoscopic ultrasonography [7]. This compares to a 79% diagnostic yield in a non-university teaching hospital practice situation for unassisted transbronchial needle aspirations [8], although in this series all cases had lung cancer, so direct comparisons are difficult.…”
Section: Introductionmentioning
confidence: 94%