Article Sidebar

PDF
Date Published: 19/02/2023
Abstract Views: 731
Views PDF: 237
DOI: https://doi.org/10.51298/vmj.v522i2.4334
Issue
Vol. 522 No. 2 (2023)
Section
Các bài báo
How to Cite
Dương , D. B. ., Nguyễn, T. V. ., & Nguyễn, C. L. . (2023). STUDY THE ROLE OF ENDOBRONCHIAL ULTRASOUND IN DIAGNOSING MEDIASTINAL LESIONS. Vietnam Medical Journal, 522(2). https://doi.org/10.51298/vmj.v522i2.4334

STUDY THE ROLE OF ENDOBRONCHIAL ULTRASOUND IN DIAGNOSING MEDIASTINAL LESIONS

Danh Bộ Dương 1,, Thế Việt Nguyễn2, Chi Lăng Nguyễn3
1 Ministry of Public Health
2 Hanoi medical university
3 National lung hospital

Main Article Content

Abstract

Objective: Endobronchial ultrasound – guided tranbronchial neede aspiration (EBUS-TBNA) is a new method for the diagnosis of mediastinal lesions located adjacent to the central airway. The purpose of this study was to evaluate the result of EBUS-TBNA for the diagnosis of mediastinal lesions. Methods: We descriptively studied the results of patients who underwent EBUS-TBNA between 6/2021 to 6/2022. Final diagnoses were determined by EBUS-TBNA, surgery and (or) clinical follow-up. Results: A total of 81 patients, of whom 52 (64.2%) were male and 29 (35.8%) were female. The mean age was 55,20±14,47 years. The final diagnoses were 35 malignant mediastinal and 46 benign mediastinal. The EBUS-TBNA was diagnostic in 70 of 81 patients: malignant 31, tuberculosis 25, nonspecific inflammatory 10, mediastinal goiter 1, sarcoidosis 2, normal 1. The diagnostic accuracy of EBUS-TBNA was 86.4%, 84.8% for benign lesions and 88,6% for malignant lesions. There were no complications. Conclusions: The diagnostic value of EBUS-TBNA is high for mediastinal lesions located adjacent to the central airway.

Article Details

Keywords

Endobronchial ultrasound (EBUS), Mediastinal lesions

References

1. Bailey N, Krisnadi Z, Kaur R, Mulrennan S, Phillips M, Slavova-Azmanova N. A pragmatic application of endobronchial ultrasound-guided transbronchial needle aspiration: a single institution experience. BMC Pulm Med. 2019;19(1):155.
2. Agarwal R, Srinivasan A, Aggarwal AN, Gupta D. Effiacy and safety of convex probe EBUS-TBNA in sarcoidosis: a systematic review and meta-analysis. Respir Med.2012;106(6):883-92.
3. Sun J, Teng J, Yang H, Li Z, Zhang J, Zhao H, et al. Endobronchial ultrasound-guided transbronchial needle aspiration in diagnosing intrathoracic tuberculosis. Ann Thorac Surg. 2013; 96(6):2021-7.
4. Yasufuku K, Nakajima T, Fujiwara T, Yoshino I, Keshavjee S. Utility of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of mediastinal masses of unknown etiology. Ann Thorac Surg. 2011;91(3):831-836.
5. Evison M, Crosbie PA, Morris J, et al. (2014). A study of patients with isolated mediastinal and hilar lymphadenopathy undergoing EBUS-TBNA. BMJ Open Respir Res, 1 (1), e000040.
6. Korkmaz C, Demirbas S,Vatansev H (2021). The value of endobronchial ultrasound-guided transbronchial needle aspiration, 18-fluorodeoxyglucose positron emission tomography/computed tomography, and ultrasonography imaging techniques in the diagnosis of mediastinal and/or hilar malignant, anthracotic, and other benign lymph nodes. Medicine (Baltimore), 100 (7), e24728.
7. Ortakoylu MG, Iliaz S, Bahadir A, et al. (2015). Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in various lung diseases. J Bras Pneumol, 41 (5), 410-414.
8. Murthi, M., Donna, E., Arias, S., Villamizar, N. R., Nguyen, D. M., Holt, G. E., & Mirsaeidi, M. S. (2020). Diagnostic Accuracy of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Real Life. Frontiers in medicine, 7, 118.