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. Author manuscript; available in PMC: 2011 Mar 1.
Published in final edited form as: Lung Cancer. 2009 May 26;67(3):366. doi: 10.1016/j.lungcan.2009.04.019

Fig. 1.

Fig. 1

Decision tree illustrating seven diagnostic branches. Following initial diagnostic workup (CT, PET scan), the clinician is faced with seven possible sampling approaches in order to discern malignant mediastinal lymphadenopathy.

◻ = initial decision node; Inline graphic = change node; ◃ = end of evaluation for that branch.

EUS = endoscopic ultrasound; FNA = fine needle aspiration; MED = mediastinoscopy; TBNA = transbronchial needle aspiration; EBUS = endobronchial ultrasound; + Bx = biopsy yielding malignancy.