The Utility of Sonographic Features During Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Lymph Node Staging in Patients With Lung Cancer

Fujiwara, Taiki; Yasufuku, Kazuhiro; Nakajima, Takahiro; Chiyo, Masako; Yoshida, Shigetoshi; Suzuki, Makoto; Shibuya, Kiyoshi; Hiroshima, Kenzo; Nakatani, Yukio; Yoshino, Ichiro

doi:10.1378/chest.09-2006

Cited by 240 publications

(270 citation statements)

References 20 publications

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“…In the same study the authors concluded that enlarged anthracotic mediastinal lymph nodes show most often an oval shape and are well-defined, nodal confluences and calcifications are frequent (16). Parallel with this, sonographic features may be very useful for evaluating mediastinal lymph nodes (17). Imai et al compared the echoic features of mediastinal lymph nodes with sarcoidosis to those with lung cancer and found low and homogeneous echogenicity is a distinct sonographic feature of lymph nodes with sarcoidosis rather than lung cancer metastasis (18).…”

Section: Discussionmentioning

confidence: 83%

Risk factors and maximum standardized uptake values within lymph nodes of anthracosis diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration

Demirci¹,

Alıcı²,

Yılmaz³

et al. 2015

Turk J Med Sci

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Background/aim: Enlarged mediastinal lymph nodes can result from serious etiologies including granulomatous disease, neoplasia, etc., and a rare condition called anthracosis . The aim of this study was to determine the incidence of risk factors and the uptake values within the anthracotic lymph nodes.Materials and methods: 106 patients who underwent endobronchial ultrasound transbronchial needle aspiration and were diagnosed as having anthracosis were analyzed retrospectively. Patients with positive confirmation by surgical biopsies or a 1-year follow-up period were enrolled.Results: 201 lymph nodes were sampled from 106 patients. Subcarinal and interlobar lymph nodes were the most commonly affected stations (36.8% and 34.3%, respectively). The mean durations of exposure to biomass and cigarette smoke were 35.5 and 33 years, respectively. The mean maximum standardized uptake value (SUVmax) within the lymph nodes was 4.76. The SUVmax of the patients with associated malignancy was 4.19 and the SUVmax of nonmalignant patients was 5.28. This difference was statistically significant (P = 0.009). Conclusion:These findings suggest that anthracosis also affects the mediastinal and hilar stations; it should be considered in differential diagnosis in patients with mediastinal and hilar lymphadenopathies with intense uptake on positron emission tomography scans, especially when there is a history of exposure to known risk factors.

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Section: Discussionmentioning

confidence: 83%

Risk factors and maximum standardized uptake values within lymph nodes of anthracosis diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration

Demirci¹,

Alıcı²,

Yılmaz³

et al. 2015

Turk J Med Sci

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“…Fujiwara y cols., analizaron las características ultrasonográficas de 487 pacientes con un total de 1.061 linfonodos con sospecha de cáncer pulmonar, encontrando en el análisis multivariado que las lesiones redondas tienen un riesgo de 3,1 (IC 1,79-5,36, p < 0,001), otras variables estadísticamente significativas fueron la presencia de margen regular, lesiones heterogéneas y con signos de necrosis en su interior 13 .…”

Section: Discussionunclassified

Ultrasonografía bronquial con aspiración por aguja fina en el estudio lesiones adyacentes a la vía aérea central

et al. 2016

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“…Fujiwara et al described four EBUS ultrasound characteristics predictive of malignancy: round shape, distinct margin, heterogeneous echogenicity and presence of coagulation necrosis. The absence of these features correctly identified 96% of benign nodes [42]. This work was further advanced by members of this group [43], with another group developing a scoring system for predicting malignancy [44].…”

Section: Future Perspectivementioning

confidence: 91%

Staging the Mediastinum: What is Current Best Practice?

Dougherty

Jersmann

Robinson

et al. 2013

Lung Cancer Manage.

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SUMMARY Staging of the mediastinum has long been a part of essential best practice in lung cancer management. This review aims to provide an overview of important key issues, such as anatomical considerations from the 2009 International Association for the Study of Lung Cancer lymph node map, as well as noninvasive and invasive staging techniques for the mediastinum. A suggested sequence of staging the mediastinum is provided, which is by no means prescriptive, but will evolve over time as more evidence is gathered regarding this important step in the clinical work-up of lung cancer patients.

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The Utility of Sonographic Features During Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Lymph Node Staging in Patients With Lung Cancer

Cited by 240 publications

References 20 publications

Risk factors and maximum standardized uptake values within lymph nodes of anthracosis diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration

Risk factors and maximum standardized uptake values within lymph nodes of anthracosis diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration

Ultrasonografía bronquial con aspiración por aguja fina en el estudio lesiones adyacentes a la vía aérea central

Staging the Mediastinum: What is Current Best Practice?

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