[Endobronchial ultrasound-guided transbronchial needle aspiration].

Gonzalo Labarca, Iván Caviedes, Erik Folch, Adnan Majid, Sebastián Fernández-Bussy
Author Information
  1. Gonzalo Labarca: Facultad de Medicina, Universidad San Sebastián, Concepción, Chile.
  2. Iván Caviedes: Unidad Neumología Intervencionista, Universidad del Desarrollo, Santiago, Chile.
  3. Erik Folch: Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, MA, USA.
  4. Adnan Majid: Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Center, Boston, EEUU.
  5. Sebastián Fernández-Bussy: Unidad Neumología Intervencionista, Universidad del Desarrollo, Santiago, Chile.

Abstract

In the last years, several techniques have been developed to obtain a prompt diagnosis or rule out lung cancer. Endobronchial ultrasound- guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure with a high diagnostic yield for mediastinal and central pulmonary lesions. This procedure is especially useful for lung cancer diagnosis and mediastinal staging. Two different types of EBUS are currently available: Radial EBUS and lineal EBUS. Each one has technical differences together with a range of clinical indications. The aim of this review is to discuss about EBUS-TBNA and its current clinical indications, evidence about the accuracy of the procedure for lung cancer diagnosis and staging, and evaluation of the pathological and molecular studies (EGFR, ALK, and ROS1) obtained through EBUS-TBNA and rapid on-site evaluation (ROSE).

MeSH Term

Endoscopic Ultrasound-Guided Fine Needle Aspiration
Endosonography
Humans
Lung
Lung Neoplasms
Mediastinal Neoplasms
Medical Illustration
Neoplasm Staging
Reproducibility of Results

Word Cloud

Created with Highcharts 10.0.0diagnosislungcancerEBUS-TBNAprocedureEBUStransbronchialneedlemediastinalstagingclinicalindicationsevaluationlastyearsseveraltechniquesdevelopedobtainpromptruleEndobronchialultrasound-guidedaspirationminimallyinvasivehighdiagnosticyieldcentralpulmonarylesionsespeciallyusefulTwodifferenttypescurrentlyavailable:RadiallinealonetechnicaldifferencestogetherrangeaimreviewdiscusscurrentevidenceaccuracypathologicalmolecularstudiesEGFRALKROS1obtainedrapidon-siteROSE[Endobronchialultrasound-guidedaspiration]

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