• Pol. Arch. Med. Wewn. · Nov 2010

    Review

    Endobronchial ultrasound-guided transbronchial needle aspiration.

    • Andrew R L Medford.
    • North Bristol Lung Centre, Southmead Hospital, Westbury-on-Trym, Bristol, United Kingdom. andrewmedford@hotmail.com
    • Pol. Arch. Med. Wewn. 2010 Nov 1;120(11):459-66.

    AbstractEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an advance in bronchoscopy. It is a staging tool for nonsmall cell lung cancer (NSCLC) but also allows diagnosis of unexplained mediastinal lymphadenopathy due to malignant and benign disease. It is a minimally invasive procedure that is used to stage suspected NSCLC with hilar nodes, discrete N2 or N3 disease, or bulky mediastinal disease. After a negative EBUS-TBNA result, if the pretest probability of lung cancer is high, a mediastinoscopy is still recommended, although in the light of recent trial data this is likely to change. EBUS-TBNA is expensive, which may limit its development in resource-rationed health care systems. Conventional (without ultrasound) transbronchial needle aspiration (TBNA) still has a useful role in lung cancer staging, especially where EBUS-TBNA is not available; it can help avoid unnecessary mediastinoscopies.

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