PMID- 17916175
OWN - NLM
STAT- MEDLINE
DCOM- 20080313
LR  - 20191210
IS  - 1445-5994 (Electronic)
IS  - 1444-0903 (Linking)
VI  - 38
IP  - 2
DP  - 2008 Feb
TI  - Advances in lung cancer diagnosis and staging: endobronchial ultrasound.
PG  - 85-9
AB  - BACKGROUND: Endobronchial ultrasound (EBUS) is an accurate and relatively less 
      invasive procedure for the diagnosis of lung lesions and mediastinal lymph node 
      staging for lung cancer. We aimed to evaluate the clinical utility and safety of 
      this new EBUS service established in our hospital. METHODS: Consecutive patients 
      who underwent EBUS-transbronchial lung biopsy (EBUS-TBLB) for biopsy of 
      peripheral pulmonary lesions or for transbronchial needle aspiration (TBNA) of 
      mediastinal lymph node enlargement were included in this audit. Demographic and 
      clinical data were obtained prospectively. Diagnostic yield from the results of 
      EBUS was compared to other clinical information obtained. RESULTS: Thirty-eight 
      patients underwent EBUS over a 10-month period. The yield from EBUS-TBLB was 62%. 
      The average size of the lung lesions biopsied was 3.5 cm and 62% were located in 
      the upper lobes. Malignancy was diagnosed in 14 cases and a benign aetiology in 
      four. The yield from EBUS-TBNA was 88% and the average size of the lymph nodes 
      was 2.3 cm. The lymph nodes were all located in the subcarinal station except for 
      two that were in the lower paratracheal station. Malignancy was diagnosed in 10 
      cases on TBNA and 4 cases had benign pathology. There was one complication seen 
      (small pneumothorax). CONCLUSION: EBUS is safe and an effective method for both, 
      diagnosis of peripheral pulmonary lesions and staging for lung cancer.
FAU - Koh, M S
AU  - Koh MS
AD  - Department of Respiratory and Sleep Medicine, Royal Melbourne Hospital, 
      Melbourne, Victoria, Australia. kohsiyue@yahoo.com.sg
FAU - Tee, A
AU  - Tee A
FAU - Wong, P
AU  - Wong P
FAU - Antippa, P
AU  - Antippa P
FAU - Irving, L B
AU  - Irving LB
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
DEP - 20071003
PL  - Australia
TA  - Intern Med J
JT  - Internal medicine journal
JID - 101092952
SB  - IM
CIN - Intern Med J. 2008 Feb;38(2):75-6. PMID: 18290825
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Biopsy, Fine-Needle
MH  - Bronchi/diagnostic imaging/*pathology
MH  - *Endosonography
MH  - Female
MH  - Humans
MH  - Lung Neoplasms/*diagnostic imaging/*pathology
MH  - Lymph Nodes/*pathology
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Sensitivity and Specificity
EDAT- 2007/10/06 09:00
MHDA- 2008/03/14 09:00
CRDT- 2007/10/06 09:00
PHST- 2007/10/06 09:00 [pubmed]
PHST- 2008/03/14 09:00 [medline]
PHST- 2007/10/06 09:00 [entrez]
AID - IMJ1469 [pii]
AID - 10.1111/j.1445-5994.2007.01469.x [doi]
PST - ppublish
SO  - Intern Med J. 2008 Feb;38(2):85-9. doi: 10.1111/j.1445-5994.2007.01469.x. Epub 
      2007 Oct 3.