Endobronchial ultrasound-guided transbronchial needle aspiration for lung cancer staging: early experience in Brazil, / Punção aspirativa por agulha guiada por ultrassom endobrônquico no estadiamento do câncer de pulmão: experiência inicial no Brasil
J. bras. pneumol
;
41(1): 23-30, Jan-Feb/2015. tab, graf
Article
in English
| LILACS
| ID: lil-741557
ABSTRACT
Objective:
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive, safe and accurate method for collecting samples from mediastinal and hilar lymph nodes. This study focused on the initial results obtained with EBUS-TBNA for lung cancer and lymph node staging at three teaching hospitals in Brazil.Methods:
This was a retrospective analysis of patients diagnosed with lung cancer and submitted to EBUS-TBNA for mediastinal lymph node staging. The EBUS-TBNA procedures, which involved the use of an EBUS scope, an ultrasound processor, and a compatible, disposable 22 G needle, were performed while the patients were under general anesthesia.Results:
Between January of 2011 and January of 2014, 149 patients underwent EBUS-TBNA for lymph node staging. The mean age was 66 ± 12 years, and 58% were male. A total of 407 lymph nodes were sampled by EBUS-TBNA. The most common types of lung neoplasm were adenocarcinoma (in 67%) and squamous cell carcinoma (in 24%). For lung cancer staging, EBUS-TBNA was found to have a sensitivity of 96%, a specificity of 100%, and a negative predictive value of 85%.Conclusions:
We found EBUS-TBNA to be a safe and accurate method for lymph node staging in lung cancer patients. .RESUMO
Objetivo:
A endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA, punção aspirativa por agulha guiada por ultrassom endobrônquico) é um método seguro e preciso para a coleta de amostras de linfonodos mediastinais e hilares. O presente estudo teve por objetivo avaliar os resultados iniciais com EBUS-TBNA para o estadiamento linfonodal de câncer de pulmão em 3 hospitais acadêmicos no Brasil.Métodos:
Análise retrospectiva de pacientes com neoplasia de pulmão diagnosticada e submetidos a EBUS-TBNA para estadiamento linfonodal mediastinal. Todos os procedimentos foram realizados sob anestesia geral. Utilizou-se um ecobroncoscópio, uma processadora de ultrassom e agulhas 22 G descartáveis e compatíveis com o ecobroncoscópio.Resultados:
Entre janeiro de 2011 e janeiro de 2014, 149 pacientes foram submetidos ao estadiamento linfonodal com EBUS-TBNA. A média de idade foi 66 ± 12 anos, sendo 58% do sexo masculino. Um total de 407 linfonodos foram puncionados via EBUS-TBNA. Os tipos mais comuns de neoplasia brônquica foram adenocarcinoma (em 67%) e carcinoma escamoso (em 24%). Para o estadiamento da neoplasia, o EBUS-TBNA apresentou sensibilidade de 96%, especificidade de 100% e valor preditivo negativo de 85%.Conclusões:
A EBUS-TBNA mostrou-se um método seguro e acurado no estadiamento linfonodal em pacientes com câncer de pulmão. .
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Peer Group
/
Self Care
/
Social Support
/
Patient Education as Topic
/
Community Health Workers
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
J. bras. pneumol
Journal subject:
Pulmonary Disease (Specialty)
Year:
2015
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of São Paulo/BR
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