RESUMO
Objective To evaluate the diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of mediastinal lymphadenopathy.Methods EBUS-TBNA were performed in 148 mediastinal lymphadenopathy previously by CT were selected,and 129 malignant tumor were confirmed by surgery.The advantages of EBUS-TBNA were evaluated,including superiority,success rate of puncture and diagnostic accurary.Results In 129 cases,mediastinal lymphadenopathy were detected clearly and were guided accurately by EBUS-TBNA.The positive results were obtained in 118 cases,and the false negative results in 11 cases.The success rate of biopsy and sensitivity of diagnosis by EBUS-TBNA in malignant tumor were 100% and 91.47% respectively.There were no complications in this group.Conclusions EBUS-TBNA is a safe and useful technique in diagnosis of mediastinal lymphadenopathy and evaluate the response to neoadjuvant chemotherapy.
RESUMO
The macroscopy and ultrasondgraphy analysis for thirty reseeted specimens of esophageal carcinoma proved by pathology was reported in this paper.The ultrasonic features of esophageal carcinoma as follows:the local wails became thicker,their layers were unclear or disap-peared,the normal walls were insteaded of irregular masses with hypoechoic patterns, the borders of the masses were definite or indefinite,and the posterior echoes of the masses had little change.In addi-tion,the depth of tumor invasion Was compared by the ultrasonography and pathology.The ultrasonic features of the esophageal walls without tumor were also described.