Transbronchial needle aspiration cytology (TBNA) in endobronchial lesions: a valuable technique during bronchoscopy in diagnosing lung cancer and it will decrease repeat bronchoscopy

Patil, Shital; Rujuta, Ayachit; Mundkar, Sanjay

doi:10.1007/s00432-014-1602-x

Cited by 21 publications

(12 citation statements)

References 19 publications

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“…For such lesions, the addition of endobronchial needle aspiration (EBNA) to conventional diagnostic methods increases the diagnostic yield; in some situations, EBNA may be the sole diagnostic modality. [249294295296297298299300301]…”

Section: Bronchoscopic Samplingmentioning

confidence: 99%

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

et al. 2019

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Flexible bronchoscopy (FB) is commonly performed by respiratory physicians for diagnostic as well as therapeutic purposes. However, bronchoscopy practices vary widely across India and worldwide. The three major respiratory organizations of the country supported a national-level expert group that formulated a comprehensive guideline document for FB based on a detailed appraisal of available evidence. These guidelines are an attempt to provide the bronchoscopist with the most scientifically sound as well as practical approach of bronchoscopy. It involved framing appropriate questions, review and critical appraisal of the relevant literature and reaching a recommendation by the expert groups. The guidelines cover major areas in basic bronchoscopy including (but not limited to), indications for procedure, patient preparation, various sampling procedures, bronchoscopy in the ICU setting, equipment care, and training issues. The target audience is respiratory physicians working in India and well as other parts of the world. It is hoped that this document would serve as a complete reference guide for all pulmonary physicians performing or desiring to learn the technique of flexible bronchoscopy.

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Section: Bronchoscopic Samplingmentioning

confidence: 99%

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

et al. 2019

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“…Due to the absence of EBUS facility at our centre at that time and the reluctance on the side of our patient to proceed further to an institute with EBUS facility, we decided to go ahead with bronchoscopy. Also, in such a scenario of endoluminal visualised necrotic tissue, in order to avoid inadequate sampling by forceps biopsy, additional endobronchial needle aspiration (EBNA) cytology and subsequent core tissue obtained can add on to the diagnostic yield of the procedure 4. However, in our patient, the endoluminal fungal plug extended till the opening of the lingula.…”

Section: Discussionmentioning

confidence: 91%

Sixty-four-year-old man with non-productive cough and lung mass

Ayub

Thanka

2019

BMJ Case Rep

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A 64-year-old manpresented with non-productive cough and dyspnoea and was evaluated and diagnosed to have a left lung mass on CT of the chest. A transthoracic needle biopsy under CT guidance revealed necrotic tissue on histopathology and was inconclusive. Positron emission tomography scan revealed a fluoro-deoxyglucose-avid left lung mass with a left upper lobe luminal cut-off. A flexible video bronchoscopy was performed and revealed left upper lobe complete obstruction with an endoluminal plug which was removed in piecemeal fashion, and deeper biopsies were taken from the lingula. Histopathology revealed underlying adenocarcinoma colonised by aspergillosis. This case serves to remind us of the possibility of missing underlying malignancy when taking superficial biopsies of clearly visualised endobronchial necrotic tissue and the need for debulking it to a reasonable extent and to take deeper biopsies in order to not miss a possible underlying malignancy.

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“…Bronchoscopy has crucial role in evaluation these lesions. During bronchoscopy we observed characteristic features of exophytic endobronchial lesions as cauliflower like, polypoid-like or nodular or multinodular endobronchial growth (23).…”

Section: Thismentioning

confidence: 86%

Thoracic manifestations of Gynecological tumors: Airway and lung parenchymal involvement commoner in endometrial and ovarian cancers while pleural and interstitial involvement is predominant in cervix malignancies

2018

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Transbronchial needle aspiration cytology (TBNA) in endobronchial lesions: a valuable technique during bronchoscopy in diagnosing lung cancer and it will decrease repeat bronchoscopy

Cited by 21 publications

References 19 publications

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

Sixty-four-year-old man with non-productive cough and lung mass

Thoracic manifestations of Gynecological tumors: Airway and lung parenchymal involvement commoner in endometrial and ovarian cancers while pleural and interstitial involvement is predominant in cervix malignancies

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