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Endobronchial ultrasound – one year of experience in clinical practice

BACKGROUND AND AIM: Endobronchial ultrasound (EBUS) is a recent minimally invasive, safe examination method for the mediastinum, with a good diagnostic precision. This method makes possible real time examination with transbronchial fine needle aspiration, diagnostic transbronchial needle aspiration...

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Autores principales: SIMON, MARIOARA, POP, BOGDAN, TOMA, LACRAMIOARA, VALLASEK, ALETTA, SIMON, IOAN
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iuliu Hatieganu University of Medicine and Pharmacy 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433572/
https://www.ncbi.nlm.nih.gov/pubmed/28559704
http://dx.doi.org/10.15386/cjmed-655
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author SIMON, MARIOARA
POP, BOGDAN
TOMA, LACRAMIOARA
VALLASEK, ALETTA
SIMON, IOAN
author_facet SIMON, MARIOARA
POP, BOGDAN
TOMA, LACRAMIOARA
VALLASEK, ALETTA
SIMON, IOAN
author_sort SIMON, MARIOARA
collection PubMed
description BACKGROUND AND AIM: Endobronchial ultrasound (EBUS) is a recent minimally invasive, safe examination method for the mediastinum, with a good diagnostic precision. This method makes possible real time examination with transbronchial fine needle aspiration, diagnostic transbronchial needle aspiration (TBNA) and staging of non-small pulmonary tumors, as well as diagnosis of mediastinal and hilar adenopathies of various causes. METHODS: We present the experience of the Bronchoscopy Department of the Pulmonology Clinic of Cluj-Napoca with EBUS-TBNA as a tool for the diagnosis and staging of tumors in contact with the bronchial wall and mediastinal and hilar adenopathies of unknown etiology. During the period August 2014 – January 2016 we examined 152 patients with no direct or indirect signs of lung tumor in traditional bronchoscopy. Rapid on site evaluation (ROSE) was available for all patients. RESULTS: Our study is a retrospective study of 152 EBUS-TBNA examinations. The average age of our patients was 54.43 years and 64% came from urban and 36% from rural background. EBUS-TBNA brought the final histological confirmation (tumors, sarcoidosis, limphoma) in 82.8% of the cases. A tumor confirmation was obtained in 95% of the patients who were suspected of having tumor. For a better understanding of the importance of this method in the daily clinical practice we present a case of peripheral pulmonary neoplasm with mediastinal and hilar adenopathies, where the contribution of EBUS-TBNA to a rapid diagnosis was essential. CONCLUSION: By the introduction of this method in our country one year ago, we can diagnose patients with lung and mediastinal tumors, which cannot be diagnosed by traditional bronchoscopy. This brings a valuable contribution to the improvement of lung cancer staging and diagnostic.
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spelling pubmed-54335722017-05-30 Endobronchial ultrasound – one year of experience in clinical practice SIMON, MARIOARA POP, BOGDAN TOMA, LACRAMIOARA VALLASEK, ALETTA SIMON, IOAN Clujul Med Original Research BACKGROUND AND AIM: Endobronchial ultrasound (EBUS) is a recent minimally invasive, safe examination method for the mediastinum, with a good diagnostic precision. This method makes possible real time examination with transbronchial fine needle aspiration, diagnostic transbronchial needle aspiration (TBNA) and staging of non-small pulmonary tumors, as well as diagnosis of mediastinal and hilar adenopathies of various causes. METHODS: We present the experience of the Bronchoscopy Department of the Pulmonology Clinic of Cluj-Napoca with EBUS-TBNA as a tool for the diagnosis and staging of tumors in contact with the bronchial wall and mediastinal and hilar adenopathies of unknown etiology. During the period August 2014 – January 2016 we examined 152 patients with no direct or indirect signs of lung tumor in traditional bronchoscopy. Rapid on site evaluation (ROSE) was available for all patients. RESULTS: Our study is a retrospective study of 152 EBUS-TBNA examinations. The average age of our patients was 54.43 years and 64% came from urban and 36% from rural background. EBUS-TBNA brought the final histological confirmation (tumors, sarcoidosis, limphoma) in 82.8% of the cases. A tumor confirmation was obtained in 95% of the patients who were suspected of having tumor. For a better understanding of the importance of this method in the daily clinical practice we present a case of peripheral pulmonary neoplasm with mediastinal and hilar adenopathies, where the contribution of EBUS-TBNA to a rapid diagnosis was essential. CONCLUSION: By the introduction of this method in our country one year ago, we can diagnose patients with lung and mediastinal tumors, which cannot be diagnosed by traditional bronchoscopy. This brings a valuable contribution to the improvement of lung cancer staging and diagnostic. Iuliu Hatieganu University of Medicine and Pharmacy 2017 2017-04-25 /pmc/articles/PMC5433572/ /pubmed/28559704 http://dx.doi.org/10.15386/cjmed-655 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
spellingShingle Original Research
SIMON, MARIOARA
POP, BOGDAN
TOMA, LACRAMIOARA
VALLASEK, ALETTA
SIMON, IOAN
Endobronchial ultrasound – one year of experience in clinical practice
title Endobronchial ultrasound – one year of experience in clinical practice
title_full Endobronchial ultrasound – one year of experience in clinical practice
title_fullStr Endobronchial ultrasound – one year of experience in clinical practice
title_full_unstemmed Endobronchial ultrasound – one year of experience in clinical practice
title_short Endobronchial ultrasound – one year of experience in clinical practice
title_sort endobronchial ultrasound – one year of experience in clinical practice
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433572/
https://www.ncbi.nlm.nih.gov/pubmed/28559704
http://dx.doi.org/10.15386/cjmed-655
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