Comparison of Sample Adequacy and Diagnostic Yield of 19- and 22-G EBUS-TBNA Needles
| Autor: | Ching-Fei Chang, Reza Ronaghi, Udit Chaddha, Waafa Elatre, Ramyar Mahdavi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Image-Guided Biopsy
Male Pulmonary and Respiratory Medicine Ebus tbna Lymphoma Sample (material) Lumen (anatomy) 03 medical and health sciences 0302 clinical medicine Sarcoidosis Pulmonary Cytology Humans Medicine Prospective Studies Prospective cohort study Endoscopic Ultrasound-Guided Fine Needle Aspiration Lymph node business.industry Middle Aged Bloody medicine.anatomical_structure 030228 respiratory system Needles 030220 oncology & carcinogenesis Female Lymph Nodes business Nuclear medicine |
| Zdroj: | Journal of Bronchology & Interventional Pulmonology. 25:264-268 |
| ISSN: | 1944-6586 |
| Popis: | BACKGROUND The 2016 CHEST consensus guidelines recommend use of either 21- or 22-G needles for endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). We decided to prospectively compare sample adequacy and diagnostic yield of the 19-G with the 22-G EBUS needle, hypothesizing that a larger gauge difference might magnify the differences between 2 needle sizes. METHODS Twenty-seven patients undergoing EBUS-TBNA at our institution were evaluated. All cases were performed by a single operator formally trained in interventional pulmonology. Both Olympus 19- and 22-G needles were used at each lymph node station in an alternating manner. Rapid on-site cytology evaluation was used and a separate cell block was prepared for each needle at each station. RESULTS Fifty-six lymph nodes were analyzed. Diagnoses included cancer (36%, including 1 lymphoma), reactive lymphoid tissue (53%), and sarcoidosis (11%). One hundred sixty-two and 163 passes were made with the 22- and 19-G needle, respectively. Sample adequacy was 73% and 46% with the 22 and 19-G needle, respectively (P |
| Databáze: | OpenAIRE |
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