Relevance of endoscopic ultrasonography and endobronchial

Thoracic surgery clinics · May 2013

Review

Relevance of endoscopic ultrasonography and endobronchial ultrasonography to thoracic surgeons.

Although cervical mediastinoscopy has been considered the gold standard for mediastinal staging in non-small cell lung cancer, new minimally invasive endoscopic ultrasound technology, such as endobronchial ultrasound-guided transbronchial needle aspiration and endoscopic ultrasound fine-needle aspiration, have changed the practice of invasive staging. Based on the current evidence, minimally invasive endoscopic staging is the recommended choice in patients with high pretest probability of lymph node metastasis; however, all negative results should be verified by mediastinoscopy, especially in centers with low expertise. In patients with low pretest probability, mediastinoscopy may be omitted when adequate sampling is achieved with endoscopic modalities.

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- Kazuhiro Yasufuku.
- Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, 200 Elizabeth Street, 9N-957, Toronto, ON M5G 2C4, Canada. kazuhiro.yasufuku@uhn.ca
- Thorac Surg Clin. 2013 May 1;23(2):199-210.
AbstractAlthough cervical mediastinoscopy has been considered the gold standard for mediastinal staging in non-small cell lung cancer, new minimally invasive endoscopic ultrasound technology, such as endobronchial ultrasound-guided transbronchial needle aspiration and endoscopic ultrasound fine-needle aspiration, have changed the practice of invasive staging. Based on the current evidence, minimally invasive endoscopic staging is the recommended choice in patients with high pretest probability of lymph node metastasis; however, all negative results should be verified by mediastinoscopy, especially in centers with low expertise. In patients with low pretest probability, mediastinoscopy may be omitted when adequate sampling is achieved with endoscopic modalities.Copyright © 2013 Elsevier Inc. All rights reserved.

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Relevance of endoscopic ultrasonography and endobronchial ultrasonography to thoracic surgeons.

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