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Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in intrapulmonary lesions
Zhao Hui; Xie Zhen; Zhou Zu-li; Sui Xi-zhao; Wang Jun
关键词endobronchial ultrasound transbronchial needle aspiration lung cancer diagnosis
刊名CHINESE MEDICAL JOURNAL
2013-11-20
DOI10.3760/cma.j.issn.0366-6999.20131560
126期:22页:4312-4315
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]LUNG-CANCER ; PULMONARY NODULES ; RANDOMIZED-TRIAL ; BIOPSY ; PNEUMOTHORAX ; IMPLANTATION ; CARCINOMA
英文摘要

Background Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is considered to have high value in the staging of mediastinal lymph nodes in lung cancer. The current study was conducted to investigate the diagnostic value of EBUS-TBNA in intrapulmonary lesions located near the central airway.

Methods From September 2009 to March 2013, 66 patients with pulmonary masses located close to the central airways suspected to be lung cancer were accessed by EBUS-TBNA. Conventional bronchoscopic biopsy before EBUS-TBNA was nondiagnostic in all cases. If EBUS-TBNA did not result in a formal pathological diagnosis of malignancy, patients were subsequently referred for a surgical procedure.

Results Among the 66 cases, 59 were confirmed as pulmonary malignancies by EBUS-TBNA, of which 48 cases were non-small cell lung cancer, nine were small cell lung cancer, and two were metastatic lung tumors. No evidence of malignancy was found by biopsy and histopathological examination in the other seven cases. Thoracoscopy or thoracotomy was subsequently undergone for them. Postoperative pathological examinations confirmed three cases of squamous cell carcinoma of the lung, one case of lymphoma, two cases of sclerosing hemangioma, and one case of pulmonary tuberculoma. The definitive diagnosis rate of EBUS-TBNA for intrapulmonary lesions near the central airway was 89.4%. The sensitivity, specificity, and accuracy of EBUS-TBNA in distinguishing benign from malignant intrapulmonary lesions were 93.7%, 100.0%, and 93.9%, respectively. The positive and negative predictive values were 100.0% and 42.9%, respectively. The EBUS-TBNA procedures were well-tolerated by all patients. No associated complications were observed.

Conclusions For intrapulmonary lesions near the central airway highly suspected of cancer, EBUS-TBNA has satisfactory diagnostic value. However, the negative predictive value of this technique is low, so negative results obtained by EBUS-TBNA should be confirmed by other methods.

语种英语
WOS记录号WOS:000327916600024
引用统计
被引频次:11[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59665
专题北京大学第二临床医学院_胸外科
北京大学基础医学院
作者单位Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Zhao Hui,Xie Zhen,Zhou Zu-li,et al. Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in intrapulmonary lesions[J]. CHINESE MEDICAL JOURNAL,2013,126(22):4312-4315.
APA Zhao Hui,Xie Zhen,Zhou Zu-li,Sui Xi-zhao,&Wang Jun.(2013).Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in intrapulmonary lesions.CHINESE MEDICAL JOURNAL,126(22),4312-4315.
MLA Zhao Hui,et al."Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in intrapulmonary lesions".CHINESE MEDICAL JOURNAL 126.22(2013):4312-4315.
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