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. 2018 Feb 27:4:37.
doi: 10.21037/jovs.2018.01.11. eCollection 2018.

Endobronchial ultrasound-guided transbronchial needle aspiration for staging of non-small cell lung cancer

Habiba Hashimi  1 , David T Cooke  1 , Elizabeth A David  1   2 , Lisa M Brown  1
Affiliations

Endobronchial ultrasound-guided transbronchial needle aspiration for staging of non-small cell lung cancer

Habiba Hashimi et al. J Vis Surg. .

Abstract

Accurate staging for non-small cell lung cancer (NSCLC) is essential to guide therapy. While computed tomography (CT) and positron emission tomography (PET) scan can indicate whether mediastinal lymphadenopathy is present, histologic confirmation is required to complete the staging evaluation. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive technique associated with similar diagnostic yield and improved postoperative pain and complication rates compared to mediastinoscopy. We share the surgical technique for EBUS-TBNA based on our experience. An 81-year-old man underwent EBUS-TBNA for concurrent tissue diagnosis and mediastinal staging of a hypermetabolic left lower lobe mass and subcarinal lymph node. Our patient had no perioperative complications and was discharged home on the same day. Histologic evaluation demonstrated squamous cell carcinoma in the left lower lobe and subcarinal lymph node. EBUS-TBNA provides histologic confirmation of suspicious mediastinal lymph nodes seen on imaging. Clinicians should consider EBUS-TBNA as a mediastinal staging modality for patients with NSCLC.

Keywords: Endobronchial ultrasonography; lung cancer; mediastinal staging; minimally invasive; transbronchial needle aspiration (TBNA).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Preoperative chest computed tomography (CT) revealed a 2.4 cm × 2.5 cm mass in the left lower lobe.
Figure 2
Figure 2
Positron emission tomography (PET) demonstrated a hypermetabolic left lower lobe mass (A) lateral to the aorta measuring 2.9 cm × 3.0 cm with max SUV 17.5. A subcarinal lymph node (B) was visible measuring 1.1 cm × 1.6 cm with max SUV 3.9. SUV, standardized uptake value.
Figure 3
Figure 3
Endobronchial ultrasound-guided transbronchial needle aspiration for squamous cell carcinoma (17). Available online: http://asvidett.amegroups.com/article/view/22987
See this image and copyright information in PMC

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