Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2013 Oct;5(5):678-82.
doi: 10.3978/j.issn.2072-1439.2013.09.11.

Transbronchial needle aspiration: where are we now?

Yang Xia  1 , Ko-Pen Wang
Affiliations
Review

Transbronchial needle aspiration: where are we now?

Yang Xia et al. J Thorac Dis. 2013 Oct.

Abstract

Lung cancer, as the leading cause of cancer-related motility and mortality worldwide, usually ends up with poor prognosis, despite abundant progress of therapeutic approaches. Early diagnosis and staging is extremely critical and directly affects clinical managements and outcomes. Transbronchial needle aspiration (TBNA), serving as an effective tool, has been widely used for mediastinal and hilar lung cancer staging. Recent advance in bronchoscopy introduces ultrasound probe to regular bronchoscope, resulting in TBNA procedures real-time visualized. Here, we summarize the advantages and disadvantages of conventional TBNA (cTBNA) and ultrasound-guided TBNA by comparing the instruments, methodology as well as the anatomy. We believe these two techniques are not competitive but complementary, judging the indications of patients for different technique would be a raising issue applied for pulmonologists.

Keywords: EBUS; Transbronchial needle aspiration (TBNA); esophageal ultrasound-guided fine needle aspiration (TENA); lung cancer; percutaneous needle aspiration (PCNA); staging.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Eleven lymph node stations in Wang’s map: (A) endoscopic view, (B) correlated CT view and (C) relevant puncture site.
Video 1
Video 1
The use of MW-319 needle in a EUS-bronchoscopy.
See this image and copyright information in PMC

References

    1. DeSantis C, Naishadham D, Jemal A.Cancer statistics for African Americans, 2013. CA Cancer J Clin 2013;63:151-66 - PubMed
    1. Jemal A, Center MM, DeSantis C, et al. Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiol Biomarkers Prev 2010;19:1893-907 - PubMed
    1. Alberts WM. Introduction to the Third Edition: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013;143:38S-40S. - PubMed
    1. Rami-Porta R.Reflections on the revisions in the international system for staging lung cancer. Chest 1998;113:1728-9 - PubMed
    1. Mountain CF. Revisions in the International System for Staging Lung Cancer. Chest 1997;111:1710-7 - PubMed