AI Article Synopsis

  • Transbronchial needle aspiration (TBNA) is a technique used with flexible bronchoscopy to diagnose thoracic cancer, successfully identifying cancer in 70 out of 108 patients studied.
  • In 46% of cancer cases, TBNA alone confirmed the diagnosis, and it also contributed crucial staging information in 29% of other cases that were confirmed by conventional methods.
  • This method not only minimized the need for further invasive surgeries in 20% of patients but also showed no complications, making it a safe and cost-effective diagnostic option.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC460179PMC
http://dx.doi.org/10.1136/thx.40.10.756DOI Listing

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