Your browser doesn't support javascript.
loading
Accuracy of endobronchial ultrasound (EBUS) in the staging of lung cancer - A comparison of staging EBUS with postoperative pathological nodal staging.
Shah, Eshita; Raman, N Sankara; Aggarwal, Manish K; Jain, Amit; Chokhani, Arushi; Murugan, Avinash; Goyal, Rajiv; Darlong, Laengmawia; Batra, Ullas.
Afiliación
  • Shah E; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Raman NS; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Aggarwal MK; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Jain A; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Chokhani A; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Murugan A; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Goyal R; Department of Interventional Pulmonology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Darlong L; Department of Thoracic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
  • Batra U; Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
Lung India ; 41(2): 93-97, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38700401
ABSTRACT

BACKGROUND:

Endobronchial ultrasound-guided transbronchial fine-needle aspiration (EBUS-TBNA) has replaced mediastinoscopy as the preferred investigation for evaluating mediastinum in staging lung cancer. There is little evidence of mediastinal staging by EBUS-TBNA from India.

OBJECTIVES:

To study endobronchial ultrasound's diagnostic accuracy in staging lung cancer.

METHODOLOGY:

We retrospectively analysed patients operated on for lung cancer where EBUS was performed preoperatively for mediastinal staging. We compared the histological findings obtained from different mediastinal lymph nodes (LNs) by EBUS-TBNA with the pathology of the same LNs obtained after surgical dissection as the reference standard.

RESULTS:

Seventy-six patients underwent curative surgery for lung cancer. The diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value of EBUS-TBNA in predicting mediastinal metastasis were 93.9%, 40%, 99%, 80% and 94.6%, respectively. Of the 115 LNs sampled, EBUS-TBNA was false negative in six nodes, resulting in an up-staging of six patients.

CONCLUSIONS:

EBUS-TBNA has a high diagnostic accuracy for lung cancer staging.

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Lung India Año: 2024 Tipo del documento: Article País de afiliación: India

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Lung India Año: 2024 Tipo del documento: Article País de afiliación: India