Introduction: The diagnostic yield of flexible bronchoscopy for peripheral pulmonary lesions is variable and often limited. Endobronchial ultrasonography (EBUS) has been reported to help localize a bronchoscopic occult pulmonary lesion and thereby improve the diagnostic yield of transbronchial biopsy (TBB).
Methods: We evaluated the yield of EBUS-guided TBB in 50 consecutive patients with a bronchoscopic occult pulmonary lesion.
Results: The mean diameter of the lesions was 36.6 mm (SD = 19.7 mm). We could visualize 74% of the bronchoscopic occult lesions with EBUS, and in these patients, a histologic diagnosis on TBB was obtained in 84%. However, the diagnostic yield was very poor for lesions <20 mm.
Conclusion: EBUS-guided TBB is effective for localizing and diagnosing bronchoscopic occult pulmonary masses > or =20 mm, but its yield remains unsatisfactory for lesions <20 mm.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/jto.0b013e31802fbc96 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
"Chronic bronchial foreign body managed by lobectomy and latissimus dorsi flap: case report".
Int J Surg Case Rep
September 2024
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai 400022, Maharashtra, India.
Introduction And Importance: Foreign body aspiration is a common occurrence, with severe outcomes seen in all age groups. It can present like any chronic respiratory disease with a wide spectrum of misleading symptoms, resulting in misdiagnosis and delays in appropriate treatment.
Case Presentation: Here we present a case of a 11 year boy diagnosed with occult foreign body aspiration, chronically impacted in the left secondary bronchus, presented with bronchiectasis and multiple failed attempts at bronchoscopic retrieval.
Delayed diagnosis of foreign body aspiration in children.
Arch Pediatr
August 2022
Hôpital des enfants de Toulouse, 330 Av. de Grande Bretagne, 31300, Toulouse.
Aims: To assess the diagnostic and therapeutic difficulties as well as the long-term complications of prolonged endobronchial foreign body retention.
Method: Between January 2000 and May 2021, 794 patients with suspected foreign body aspiration (FBA) were hospitalized in our department. A total of 12 patients with a delayed diagnosis of over 1 month were included.
Endoscopic nodal staging in oligometastatic non-small cell lung cancer (NSCLC) being treated with stereotactic ablative radiotherapy (ENDO-SABR).
BMC Cancer
April 2022
Division of Radiation Oncology, Department of Oncology, London Health Sciences Centre, Western University, London, Ontario, Canada.
Background: Research in treatment of non-small cell lung cancer (NSCLC) has shown promising results with stereotactic ablative radiotherapy (SABR) of oligometastatic disease, wherein distant disease may be limited to one or a few distant organs by host factors. Traditionally, PET/CT has been used in detecting metastatic disease and avoiding futile surgical intervention, however, sensitivity and specificity is limited to only 81 and 79%, respectively. Mediastinal staging still identifies occult nodal disease in up to 20% of NSCLC patients initially thought to be operative candidates.
View Article and Find Full Text PDFPneumothorax in patients with respiratory failure in ICU.
J Thorac Dis
August 2021
Interventional Pulmonary Program, Division of Pulmonary, Allergy, and Critical Care Medicine, UAB, The University of Alabama at Birmingham, Birmingham, AL, USA.
Pneumothorax is not an uncommon occurrence in ICU patients. Barotrauma and iatrogenesis remain the most common causes for pneumothorax in critically ill patients. Patients with underlying lung disease are more prone to develop pneumothorax, especially if they require positive pressure ventilation.
View Article and Find Full Text PDFRadiologically Occult Lung Cancer Curatively Treated with High-Dose Rate Endobronchial Brachytherapy.
J Clin Imaging Sci
August 2021
Department of Radiation Oncology, University of Rochester Medical Center, Rochester, New York, United States.
Article Synopsis
- Most patients with early-stage non-small cell lung cancer (NSCLC) can be effectively treated with surgery or stereotactic body radiotherapy (SBRT), while other modalities like photodynamic therapy provide only temporary relief.
- A 79-year-old man previously treated for NSCLC underwent endobronchial brachytherapy after being deemed ineligible for surgery or SBRT, receiving high-dose radiation with no side effects.
- Years later, he was diagnosed with a third primary lung cancer and successfully treated with SBRT, showing that HDR-EBBT can be an effective alternative when typical treatments aren't an option.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!