Endoscopic ultrasound and/or endobronchial ultrasoundguided needle biopsy of central intraparenchymal lung lesions not adjacent to airways or esophagus

H. Erhan Dincer, Eitan Podgaetz Gliksberg, Rafael S. Andrade

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Background and Objectives: It is usually challenging to diagnose intraparenchymal pulmonary nodules and masses that are not adjacent to central airways or esophagus. We evaluated the diagnostic accuracy and safety of endobronchial ultrasoundtransbronchial needle aspiration (EBUS-TBNA) and/or endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) for these lesions. Materials and Methods: We performed an Internal Review Board-approved retrospective analysis of all patients who underwent EBUS, EUS, or both for the diagnosis of centrally located pulmonary nodules and masses between November 2008 and July 2013. We report results as median values with ranges. Results: We identified 16 consecutive patients who underwent EBUS-TBNA and/or EUS-FNA of pulmonary nodules and masses not adjacent to airways or esophagus. We performed EBUSFNA in 10 patients, EUS-FNA in five patients, and both EBUS-FNA and EUS-FNA in one patient. Median lung lesion size was 22.5 mm (11-45 mm) and median distance from airway or esophagus was 19 mm (5-30 mm). We obtained a tissue diagnosis in 15 patients (93.8%). There were no procedure-related complications. Conclusion: We conclude that EBUS-TBNA and/or EUS-FNA are accurate and safe for the diagnosis of intraparenchymal pulmonary lesions that are not adjacent to central airways or esophagus.

Original languageEnglish (US)
Pages (from-to)40-43
Number of pages4
JournalEndoscopic Ultrasound
Volume4
Issue number1
DOIs
StatePublished - 2015

Keywords

  • Centrally located pulmonary nodule
  • Endobronchial ultrasound
  • Endoscopic ultrasound
  • Needle aspiration

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