The Korean journal of internal medicine

  • 제28권6호
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  • Pages.660-667
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  • 2013
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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The diagnostic efficacy and safety of endobronchial ultrasound-guided transbronchial needle aspiration as an initial diagnostic tool

  • Choi, Young Rak (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • An, Jin Young (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Kim, Mi Kyeong (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Han, Hye-Suk (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Lee, Ki Hyeong (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Kim, Si-Wook (Department of Thoracic Surgery, Chungbuk National University College of Medicine) ;
  • Lee, Ki Man (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Choe, Kang Hyeon (Department of Internal Medicine, Chungbuk National University College of Medicine)
  • 투고 : 2012.07.18
  • 심사 : 2013.02.07
  • 발행 : 2013.11.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Real-time, convex probe endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is used for the staging of malignant mediastinal lymph nodes. We evaluated the diagnostic efficacy and safety of EBUS-TBNA when used as an initial diagnostic tool. Methods: We retrospectively studied 56 patients who underwent EBUS-TBNA as an initial diagnostic tool between August 2010 and December 2011. Procedure purpose were classified into four categories: 1) intrathoracic masses adjacent to the central airway; 2) enlarged lymph nodes for concurrent diagnosis and staging in suspected malignancy; 3) enlarged lymph nodes in suspected malignancy cases with inability to perform percutaneous core needle biopsy (PCNB); and 4) solely mediastinal masses/lymph nodes in lieu of mediastinoscopy. Results: The diagnostic accuracy of EBUS-TBNA regardless of procedure purpose was calculated to be 83.9%. Furthermore, the diagnostic accuracy of malignant disease was significantly higher than benign disease (93.9% vs. 70.6%, p < 0.001). The diagnostic accuracy of EBUS-TBNA for each disease is as follows: tuberculosis, 50%; sarcoidosis, 60%; aspergillosis, 100%; lung abscess, 100%; lung cancer, 93%; and lymphoma, 100%. There were minor complications in seven patients during the EBUS-TBNA procedure. The complications included mild hypoxia and bleeding. Conclusions: In conclusion, EBUS-TBNA is a useful initial diagnostic tool for both benign and malignant diseases. EBUS-TBAN is also a very safe procedure and less invasive compared to mediastinoscopy or PCNB.

키워드

참고문헌

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피인용 문헌

  1. Is there enough support for endobronchial ultrasound-guided transbronchial needle aspiration as an initial diagnostic tool? vol.28, pp.6, 2013, https://doi.org/10.3904/kjim.2013.28.6.652
  2. Endobronchial ultrasound-guided transbronchial needle aspiration in lung cancer diagnosis and staging vol.9, pp.1, 2015, https://doi.org/10.1586/17476348.2015.992784
  3. Diagnostic Efficacy and Safety of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in Intrathoracic Tuberculosis : A Meta-analysis vol.34, pp.9, 2013, https://doi.org/10.7863/ultra.15.14.06017
  4. Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in various lung diseases vol.41, pp.5, 2013, https://doi.org/10.1590/s1806-37132015000004493
  5. Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in solitary mediastinal, hilar lymphadenectasis, or peribronchial lesions : Six cases reports and revi vol.95, pp.44, 2013, https://doi.org/10.1097/md.0000000000005249
  6. Endobronchial ultrasound guided transbronchial needle aspiration combining with immunohistochemistry and genotype in lung cancer: A single-center, 55 cases retrospective study vol.23, pp.None, 2013, https://doi.org/10.1016/j.amsu.2017.07.055
  7. Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Increases the Yield of Transbronchial Lung Biopsy for the Evaluation of Peribronchial Lesions vol.130, pp.1, 2013, https://doi.org/10.4103/0366-6999.196567
  8. Safety of endobronchial ultrasound‐guided transbronchial needle aspiration in patients with lung cancer within a year after percutaneous coronary intervention vol.9, pp.11, 2018, https://doi.org/10.1111/1759-7714.12846
  9. Role of Bronchoscopic Techniques in the Diagnosis of Thoracic Sarcoidosis vol.8, pp.9, 2013, https://doi.org/10.3390/jcm8091327
  10. Contrast-enhanced ultrasound for needle biopsy of thoracic lesions vol.20, pp.4, 2013, https://doi.org/10.3892/ol.2020.11936
  11. Diagnostic efficacy of EBUS‐TBNA in benign diseases in a population with a high prevalence of tuberculosis vol.49, pp.3, 2013, https://doi.org/10.1002/dc.24661