Document Detail

Transbronchial needle aspiration in routine fiberoptic bronchoscopy.
MedLine Citation:
PMID:  1579719     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine setting of a teaching hospital for the diagnosis and staging of bronchogenic carcinoma in comparison to the results of controlled clinical studies. We reviewed our results with Wang retractable needle catheters during a 9-month period. The needle catheters were used in 72 patients. 43 patients had a final diagnosis of bronchogenic carcinoma. Classical bronchial washes, brushings and forceps biopsies led to the diagnosis in 28 patients (65%). The addition of TBNA increased the diagnostic yield by 14% (6 patients) to 79% overall. In 32 patients staging of mediastinal lymph nodes was attempted. Positive TBNA proved inoperability in 9 patients. In 7 patients TBNA was used to investigate peripheral masses. Two patients had a malignant tumor, of which one was diagnosed by TBNA. Overall, TBNA revealed important information with clinical consequences in 16 of 72 patients (22%). There were no complications. We conclude that TBNA significantly increases the diagnostic yield of fiberoptic bronchoscopy and carries only a minimal risk. Our results, obtained in the clinical routine setting of a teaching hospital, are comparable to the reported results of controlled studies.
M Salathé; M Solèr; C T Bolliger; P Dalquen; A P Perruchoud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  59     ISSN:  0025-7931     ISO Abbreviation:  Respiration     Publication Date:  1992  
Date Detail:
Created Date:  1992-06-09     Completed Date:  1992-06-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  5-8     Citation Subset:  IM    
Department of Internal Medicine, University Clinic Basel, Switzerland.
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MeSH Terms
Biopsy, Needle / methods*
Carcinoma, Bronchogenic / pathology*
Catheterization / instrumentation
Evaluation Studies as Topic
Lung / pathology*
Lung Neoplasms / pathology*
Neoplasm Staging

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