Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Mediastinal Lymph Node Staging in Non-Small Cell Lung Cancer

Shawn S. Groth, Rafael S. Andrade

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Mediastinoscopy is the gold standard for mediastinal lymph node (MLN) staging for non-small cell lung cancer patients; however, mediastinoscopy is invasive and allows access to a limited number of American Thoracic Society MLN stations (1, 2, 3, 4, and 7). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is emerging as a useful, less invasive staging technique that offers access to a wider range of MLN stations (2, 3, 4, 7, 10, and 11). Although EBUS-TBNA has excellent sensitivity and diagnostic accuracy, an alternative MLN biopsy technique (i.e., mediastinoscopy or thoracoscopy) is required to confirm negative cytology findings, especially after induction therapy. Additionally, an experienced cytopathologist is critical to establishing an effective EBUS-TBNA program.

Original languageEnglish (US)
Pages (from-to)274-278
Number of pages5
JournalSeminars in thoracic and cardiovascular surgery
Volume20
Issue number4
DOIs
StatePublished - Dec 1 2008

Keywords

  • bronchoscopy
  • carcinoma
  • lymph nodes
  • non-small cell lung
  • ultrasonography

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