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Date Published: 15/02/2023
Abstract Views: 119
Views PDF: 103
DOI: https://doi.org/10.51298/vmj.v521i2.4073
Issue
Vol. 521 No. 2 (2022)
Section
Các bài báo
How to Cite
Dương, T. N. V., Nguyễn, N. D., Trần, T. L., Ngô, Q. C., & Vũ, V. G. (2023). DIAGNOSTIC VALUE OF ENDOBRONCHIAL ULTRASOUND-GUIDED TRANSBRONCHIAL NEEDLE ASPIRATION (EBUS-TBNA) IN DIAGNOSING ENLARGED MEDIASTINAL/HILAR LESIONS. Vietnam Medical Journal, 521(2). https://doi.org/10.51298/vmj.v521i2.4073

DIAGNOSTIC VALUE OF ENDOBRONCHIAL ULTRASOUND-GUIDED TRANSBRONCHIAL NEEDLE ASPIRATION (EBUS-TBNA) IN DIAGNOSING ENLARGED MEDIASTINAL/HILAR LESIONS

Thị Nguyệt Vân Dương1,, Ngọc Dư Nguyễn2, Thị Lan Trần1, Quý Châu Ngô3, Văn Giáp Vũ4
1 Bach Mai hospital
2 Hanoi Medical university
3 Tam Anh Hospital
4 Hanoi medical university

Main Article Content

Abstract

Real-time, convex probe endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is used to reveal etiologies of enlarged mediastinal/hilar lymphadenopathy, lesions. The study evaluated the diagnostic efficacy and safety of EBUS-TBNA when used as an initial diagnostic tool. We restrospective 75 patients between September 2017 and July 2021. Results: In the 72 cases with adequate results, the diagnostic accuracy of EBUS-BNA was calculated 69%; the diagnostics specific, the sensitive,  the positive predictive value, the negative predictive value was 62%, 100%, 38.9%, and 100%. There was no  reported complication. Conclusions: EBUS-TBNA is safe and efficacy procedure, so EBUS – TBNA should be used as an initial diagnostic tool for the assessment of  mediastinal and hilar lymph nodes, lesions.  

Article Details

Keywords

Real-time, convex probe endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-BNA), mediastinal/hilar lymphadenopathy, lesions

References

1. Belda-Sanchis J, Trujillo-Reyes JC, Obiols C, et al. Transcervical videomediastino-thoracoscopy. J Thorac Dis. 2018;10(Suppl 22):S2649-S2655. doi:10.21037/jtd.2018.03.132
2. Paleru C, Dănăilă O, Bolca C, Cordoş I. [Complications of mediastinoscopy]. Pneumol Buchar Rom. 2009;58(1):39-40, 42.
3. Nakajima T, Yasufuku K. The techniques of endobronchial ultrasound-guided transbronchial needle aspiration. Innov Phila Pa. 2011;6(1):57-64. doi:10.1097/IMI.0b013e31820c91a7
4. Krasnik M. P2.12-003 The History of EBUS TBNA. J Thorac Oncol. 2017;12(11):S2164. doi:10.1016/j.jtho.2017.09.1345
5. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of Standards of Care Committee of British Thoracic Society. British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax. 2001;56 Suppl 1:i1-21. doi:10.1136/thorax.56.suppl_1.i1
6. Tyan CC, Machuca T, Czarnecka K, et al. Performance of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for the Diagnosis of Isolated Mediastinal and Hilar Lymphadenopathy. Respiration. 2017;94(5):457-464. doi:10.1159/000479745
7. Jernlås B, Nyberger H, Ek L, Öhman R, Jönsson P, Nozohoor S. Diagnostic yield and efficacy of endobronchial ultrasound-guided transbronchial needle aspiration in mediastinal lymphadenopathy. Clin Respir J. 2012;6(2):88-95. doi:10.1111/j.1752-699X.2011.00251.x
8. Hu J, Su Y hua, Yin X, et al. [Evaluation of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of hilar and mediastinal masses of unknown etiologies]. Zhonghua Yi Xue Za Zhi. 2012;92(8):528-531.