Endoscopic ultrasound-guided biopsy in the chest: little to lose, much to gain

Vilmann, Peter

doi:10.1183/09031936.05.00002905

Cited by 22 publications

(18 citation statements)

References 14 publications

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“…We suggest that the results of the study by GABOR et al [1] should be related to the presence, dosage and type of betablocking medication in order to discriminate between the effects of cardiac resynchronisation therapy and potential pharmacological influences. Endoscopic ultrasound-guided biopsy in the chest…”

mentioning

confidence: 99%

Endoscopic ultrasound-guided biopsy in the chest

Janssen¹

2006

Eur Respir J

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confidence: 99%

Endoscopic ultrasound-guided biopsy in the chest

Janssen¹

2006

Eur Respir J

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“…In a recent issue of the European Respiratory Journal, projections for a large increase in chronic obstructive pulmonary disease (COPD) in females in the Netherlands up to 2025 were recorded in the study by HOOGENDOORN et al [1]. These are depressing, but expected given recent observed trends and the modest changes in smoking made by Dutch females since 1980 [2,3].…”

Section: To the Editorsmentioning

confidence: 93%

“…Therefore, it is disconcerting to see that continuing upward trends in COPD, albeit smaller in scale, are also projected for Dutch males. Where the predicted time trend is shown [1], there is little, if any, slowing of the rate of increase over the whole period up to 2025. In contrast, according to the World Health Organization (WHO) compilation of national statistics presented by PETO et al [4], total deaths from lung cancer have recently begun to fall in males within the European Union.…”

Section: To the Editorsmentioning

confidence: 99%

“…The past smoking behaviour of the population is present in the current distribution of nonsmokers, smokers and ex-smokers in the different age and sex classes. This distribution changes each year as a result of ageing of the birth cohorts and the application of age-and sex-specific start, stop and restart rates [1]. Commonly, projections of the burden of disease are not based on dynamic life-table models, but on simple demographic projections in which age-and sex-specific prevalence rates are multiplied by the expected number of people in the age and sex classes in the future (Statistics Netherlands, Voorburg/Heerlen, the Netherlands).…”

Section: From the Authorsmentioning

confidence: 99%

“…Pride for the interest in our article [1] and the opportunity to elaborate on our projections of the increasing prevalence of chronic obstructive pulmonary disease (COPD) in the Dutch population.…”

Section: From the Authorsmentioning

confidence: 99%

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Projections of COPD in males in the Netherlands

Pride¹

2006

Eur Respir J

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the initial invasive staging modality after bronchoscopy plus TBNA.Since the publication of our editorial comment, two further prospective studies have investigated the addition of EUS-FNA to a standard work-up for unselected LC patients [3,4]. In one of these studies, the results of EUS-FNA were blinded [3]. The conclusions were clear; EUS-FNA, when added to MS (and TBNA), improves the pre-operative staging of LC, resulting in a reduced rate of futile thoracotomies.How much additional proof do we need? Should we ask for more evidence from new less invasive methods that exists for the standard methods? When is the right time to change or add to standards? We believe, based on the current literature, that the time has come for EUS-FNA.However, the aim of our editorial comment was not to claim the superiority of one method above the other, but to inform thoracic specialists that, according to the available evidence, the addition of endoscopic ultrasound-guided fine-needle aspiration to a standard work-up improves selection of surgically curable patients with lung cancer. While recognising that the primary purpose of the authors' model is to estimate total future costs due to chronic obstructive pulmonary disease, regardless of how these costs arise, the authors hardly comment on the extent to which their estimates depend on demographic changes, in particular, increased age of the population (which perhaps represents medical ''success'' but increases costs and worries pension funds) and how much depends on the persistence of smokingrelated disease (which is amenable to preventive medicine). The increases presented for prevalence and mortality could potentially be explained entirely by population ageing, but there is no quantification of these two major factors to support or refute this possibility. Such information might help the medical reader to better understand the paradox that, while smoking is the most important aetiological factor for causing physician-diagnosed chronic obstructive pulmonary disease, its prevalence and mortality can be projected to continue to increase even after 45 yrs of reduction in cigarette smoking by Dutch males. Projections of COPD in males in the Netherlands

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Cytopathologic diagnoses of fine-needle aspirations from endoscopic ultrasound of the mediastinum

Skov

Baandrup

Jakobsen

et al. 2007

Cancer

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Micropapillary urothelial carcinoma (MPUC) is a rare subtype of urothelial carcinoma (UC) with an aggressive clinical course. The cytomorphologic features of MPUC in urine cytology have not been well described. In this study, 23 urine specimens (11 voided urines and 12 bladder washings) from 23 patients with MPUC on follow‐up surgical material and 28 specimens (14voided urines and 14 bladder washings) from 28 patients with high‐grade UCs (HGUC) were retrieved. Cytologic features (nuclear grade, cytoplasmic characteristics), architectural features (single cell pattern, true papillary structures, flat sheets/nests, three dimensional clusters, micropapillary (inside‐out, acinar‐like, or cauliflower with nuclei located peripherally)), and necrosis were evaluated. Clinical follow‐up was obtained by chart review. Two findings, micropapillae and cytoplasmic vacuoles, were seen more frequently in MPUC compared to HGUC, 81.0% vs. 14.3%, and 57.1% vs. 14.3%, respectively. The combination of these two findings had a sensitivity of 78%, a specificity of 86%, a positive predictive value of 82%, and a negative predictive value of 83% for the diagnosis of MPUC on subsequent biopsy. MPUC and HGUC can both exhibit a single cell pattern, papillary structures, flat sheets/nests, three dimensional clusters, high‐nuclear grade, and necrosis, thus these findings are not useful in distinguishing these entities. Chart review revealed that patients with MPUC had a higher rate of metastasis to lymph nodes and distant organs than HGUC, 57% vs. 4%. Therefore, the findings of cytoplasmic vacuoles and micropapillary structures in UC from a urine cytology specimen are associated with MPUC on subsequent biopsy. Diagn. Cytopathol. 2013. © 2012 Wiley Periodicals, Inc.

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Endoscopic ultrasound-guided biopsy in the chest: little to lose, much to gain

Cited by 22 publications

References 14 publications

Endoscopic ultrasound-guided biopsy in the chest

Endoscopic ultrasound-guided biopsy in the chest

Projections of COPD in males in the Netherlands

Cytopathologic diagnoses of fine-needle aspirations from endoscopic ultrasound of the mediastinum

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