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Udgivet

EUS-B-FNA for Diagnosing Liver and Celiac Metastases in Lung Cancer Patients

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Developing and Gathering Validity Evidence for a Simulation-Based Test of Competencies in Lung Ultrasound

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Development of and Gathering Validity Evidence for a Theoretical Test in Thoracic Ultrasound

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Endoscopic Ultrasound with Bronchoscope-Guided Fine Needle Aspiration for the Diagnosis of Paraesophageally Located Lung Lesions

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Ensuring Basic Competence in Thoracentesis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Lokalanæstesitorakoskopi ved udredning af recidiverende pleuraeffusion

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Computed tomography of the chest in unilateral pleural effusions: outcome of the British Thoracic Society guideline

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Incidence of malignancy and survival in patients with idiopathic pleuritis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Endoscopic Ultrasound with Bronchoscope-Guided Fine Needle Aspiration for the Diagnosis of Paraesophageally Located Lung Lesions

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Ensuring Basic Competence in Thoracentesis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: In patients with suspected or proven lung cancer, assessment of regional nodal and distant metastases is key before treatment planning. By introducing the endobronchial ultrasound (EBUS)-guided scope into the esophagus and stomach (EUS-B), liver lesions and celiac nodes can be visualized. To date, the utility of EUS-B in diagnosing liver lesions and retroperitoneal lymph nodes is unknown.

OBJECTIVES: To assess the feasibility, safety, and diagnostic yield of sampling of liver lesions and retroperitoneal nodes by EUS-B fine-needle aspiration (FNA) in a lung cancer staging setting.

METHOD: Consecutive patients suspected of lung cancer in 2 Danish centers between 1 January 2015 and 31 December 2017 were included retrospectively when a lesion in the liver or a retroperitoneal lymph node was visualized and biopsied with EUS-B-FNA.

RESULTS: 23 left liver lobe lesions and 19 retroperitoneal lymph nodes were sampled by EUS-B-FNA. Sensitivity and diagnostic yield of sampled liver lesions were 86 and 83%, respectively. In 19/23 patients, there was a cytopathological diagnosis of malignancy. Sensitivity and diagnostic yield from retroperitoneal lymph node samples were 83 and 63%, respectively. In 10/19 patients, the diagnosis was malignancy. No complications were observed.

CONCLUSION: EUS-B-FNA enables safe sampling of left liver lobe lesions and retroperitoneal lymph nodes. EUS-B should be considered as a minimally invasive technique to provide tissue proof of distant metastases lung cancer patients.

OriginalsprogEngelsk
TidsskriftRespiration; international review of thoracic diseases
Vol/bind98
Udgave nummer5
Sider (fra-til)428-433
Antal sider6
ISSN0025-7931
DOI
StatusUdgivet - 2019

Bibliografisk note

© 2019 The Author(s) Published by S. Karger AG, Basel.

ID: 59117875