Value of endobronchial ultrasound in staging non-small cell lung cancer

Tuberk Toraks. 2009;57(4):407-12.

Abstract

Endobronchial ultrasound guided fine-needle aspiration (EBUS-TBNA) is an accurate, safe and minimally invasive technique for the analysis of mediastinal lymph nodes. The aim of our study was to assess the value of EBUS probe using single-channel bronchoscope. Twenty-two patients who undervent EBUS-TBNA with proven non-small cell lung cancer and enlarged (> 1 cm) mediastinal lymph node at chest computed tomography were retrospectively enrolled in the study. The mean age of the patients was 56.8 + or - 9.0 (45-76), and all of them were men. Mean size of sampled 32 lymph nodes was 19.9 + or - 6.5 mm (10-30). The average number of needle passes was 3.2 + or - 0.9 (1-5). Adequate material was found in 31 (97%) of the lymph nodes. In 15 (68.1%) of the patients lymph node metastasis was detected. Of 7 patients with negative cytology, a mediastinoscopy was done. There were no complications other than minimal hemorrhage. The sensitivity of EBUS-TBNA was calculated as 88.2%, whereas the specificity was 100% and accuracy was found to be 90.9%. EBUS guided TBNA of mediastinal lymph nodes is a safe approach which can be a tool for obtaining adequate material and high diagnostic yield in staging of non-small cell lung cancer.

MeSH terms

  • Aged
  • Biopsy, Fine-Needle
  • Bronchoscopy
  • Carcinoma, Non-Small-Cell Lung / diagnostic imaging*
  • Carcinoma, Non-Small-Cell Lung / pathology
  • Endosonography / methods
  • Humans
  • Lung Neoplasms / diagnostic imaging*
  • Lung Neoplasms / pathology
  • Lymphatic Metastasis / diagnostic imaging
  • Lymphatic Metastasis / pathology
  • Male
  • Mediastinoscopy
  • Mediastinum / diagnostic imaging
  • Middle Aged
  • Neoplasm Staging / methods*
  • Retrospective Studies
  • Ultrasonography, Interventional / methods*