Abstract
Transbronchial needle aspiration has recently been adapted for use with the flexible bronchoscope. We studied 108 patients, who had a total of 110 aspirations performed, and diagnosed thoracic cancer in 70 cases. Transbronchial needle aspiration revealed malignant disease in 32 (46%) of these 70 patients. In 12 (17%) patients with cancer this technique provided the sole cytological or histological confirmation of the diagnosis. It gave a positive result in an additional 20 (29%) cases in which the diagnosis was also proved by conventional procedures, and it provided important staging information in these patients. In 20% of patients with cancer transbronchial needle aspiration precluded the need for further diagnostic surgery. There were no complications in this series. This is a safe, useful, and economical technique that can be used in diagnosing and staging patients with carcinoma of the lung.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Buirski G., Calverley P. M., Douglas N. J., Lamb D., McIntyre M., Sudlow M. F., White H. Bronchial needle aspiration in the diagnosis of bronchial carcinoma. Thorax. 1981 Jul;36(7):508–511. doi: 10.1136/thx.36.7.508. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cropp A. J., DiMarco A. F., Lankerani M. False-positive transbronchial needle aspiration in bronchogenic carcinoma. Chest. 1984 May;85(5):696–697. doi: 10.1378/chest.85.5.696. [DOI] [PubMed] [Google Scholar]
- Lundgren R. A flexible thin needle for transbronchial aspiration biopsy thorugh the flexible fiberoptic bronchoscope. Endoscopy. 1980 Jul;12(4):180–182. doi: 10.1055/s-2007-1021738. [DOI] [PubMed] [Google Scholar]
- Naruke T., Suemasu K., Ishikawa S. Lymph node mapping and curability at various levels of metastasis in resected lung cancer. J Thorac Cardiovasc Surg. 1978 Dec;76(6):832–839. [PubMed] [Google Scholar]
- Oho K., Kato H., Ogawa I., Hayashi N., Hayata Y. A new needle for transfiberoptic bronchoscopic use. Chest. 1979 Oct;76(4):492–492. doi: 10.1378/chest.76.4.492a. [DOI] [PubMed] [Google Scholar]
- Pauli G., Pelletier A., Bohner C., Roeslin N., Warter A., Roegel E. Transbronchial needle aspiration in the diagnosis of sarcoidosis. Chest. 1984 Apr;85(4):482–484. doi: 10.1378/chest.85.4.482. [DOI] [PubMed] [Google Scholar]
- SCHIEPPATI E. Mediastinal lymph node puncture through the tracheal carina. Surg Gynecol Obstet. 1958 Aug;107(2):243–246. [PubMed] [Google Scholar]
- Wang K. P., Brower R., Haponik E. F., Siegelman S. Flexible transbronchial needle aspiration for staging of bronchogenic carcinoma. Chest. 1983 Nov;84(5):571–576. doi: 10.1378/chest.84.5.571. [DOI] [PubMed] [Google Scholar]
- Wang K. P., Terry P. B. Transbronchial needle aspiration in the diagnosis and staging of bronchogenic carcinoma. Am Rev Respir Dis. 1983 Mar;127(3):344–347. doi: 10.1164/arrd.1983.127.3.344. [DOI] [PubMed] [Google Scholar]
