Is endobronchial ultrasound-guided transbronchial needle aspiration with a stylet necessary for lymph node screening in lung cancer patients?
Brazilian Journal of Medical and Biological Research, ISSN: 1414-431X, Vol: 50, Issue: 10, Page: e6372
2017
- 6Citations
- 1,154Usage
- 8Captures
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Metrics Details
- Citations6
- Citation Indexes6
- Usage1,154
- Full Text Views1,019
- 1,019
- Abstract Views135
- 135
- Captures8
- Readers8
Article Description
During endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), a needle is commonly used with a stylet, although recently the stylet has been omitted. This prospective study aimed to compare the quality of specimens obtained by EBUS-TBNA performed with and without a stylet. Between November 2013 and November 2014, 131 patients with lung cancer underwent EBUS-TBNA, with a total of 148 mediastinal or hilar lymph nodes sampled both with and without an inner-stylet, yielding 296 cytological specimens. Specimens were scored cytologically using five parameters: background blood or clot, amount of cellular material, degree of cellular degeneration, degree of cellular trauma, and retention of appropriate architecture. The procedure with a stylet required significantly longer operation time than without a stylet (14.5±0.8 vs 12.7± 1.1 min, P<0.001). Excellent specimens were obtained in 261/296 and 260/296 samples in the procedures with and without a stylet, respectively (P=0.9), while the remaining 35 and 36 samples, respectively, were adequate. The diagnosing and staging of lung cancer using EBUS-TBNA did not differ significantly between the groups. In conclusion, specimen collection by EBUS-TBNA without a stylet is easier and faster than the procedure using a stylet and absence of a stylet did not alter specimen quality or diagnostic accuracy.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85027704259&origin=inward; http://dx.doi.org/10.1590/1414-431x20176372; http://www.ncbi.nlm.nih.gov/pubmed/28832765; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017001000606&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017001000606&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-879X2017001000606&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017001000606; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-879X2017001000606; https://dx.doi.org/10.1590/1414-431x20176372; https://www.scielo.br/j/bjmbr/a/4XrcB9R4dgCvbmLgt6MNnfP/?lang=en
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