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Volume 77
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10.5603/ARM.27787
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Article

Endoscopic Ultrasound-Guided Needle Aspiration in Lung Cancer

by
Artur Szlubowski
1,*,
Marcin Zieliński
1,
Joanna Figura
1,
Jolanta Hauer
1,
Witold Sośnicki
1,
Juliusz Pankowski
2,
Anna Obrochta
2 and
Magdalena Jakubiak
2
1
Department of Thoracic Surgery and Endoscopy Unit, Pulmonary Hospital, Gładkie 1, 34-500 Zakopane, Poland
2
Department of Pathology, Pulmonary Hospital, 34-500 Zakopane, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2009, 77(4), 357-362; https://doi.org/10.5603/ARM.27787
Submission received: 11 September 2008 / Revised: 26 June 2009 / Accepted: 26 June 2009 / Published: 26 June 2009

Abstract

Introduction: The aim of the study was to assess the diagnostic yield of transoesophageal endoscopic ultrasound-guided needle aspiration (EUS-NA) in lung cancer (LC). Material and methods: Real time EUS-NA was performed under local anaesthesia and sedation in consecutive LC patients. All negative EUS-NA results in NSCLC patients were verified by transcervical extended bilateral mediastinal lymphadenectomy (TEMLA). Results: In 146 patients there were 206 biopsies performed in lymph node stations: subcarinal (7):124, left lower paratracheal (4L):70, paraoesophageal (8):9 and pulmonary ligament (9):3. A mean short axis of punctured node was 10 ± 6.3 (95% CI) mm. Lymph node biopsy was technically successful in 95.6% and was diagnostic in 40.1% of LC patients. In NSCLC staging, the sensitivity of EUS-NA calculated on the per-patient basis was 85.5%, specificity 100%, accuracy 93.6% and negative predictive value (NPV) 89.7% in stations accessible for EUS-NA, but in all mediastinal stations it was 70.7%, 100%, 84.3% and 74.7, respectively (p = 0.009). The sensitivity of EUS-NA in NSCLC staging patients, calculated on the per-biopsy basis was 88.6%, specificity 100%, accuracy 95.4% and NPV 91.4%. A diagnostic yield of EUS-NA on the per-biopsy basis was higher for station 4L than 7, but the difference was not significant (χ2 p = 0.4). Conclusions: The diagnostic value of EUS-NA in LC is high. In NSCLC staging EUS-NA is insufficient and should be complemented by other invasive techniques, especially those that give access to the right paratracheal region.
Keywords: endoscopic ultrasound-guided needle aspiration; transcervical extended bilateral mediastinal lymphadenectomy; non-small cell lung cancer endoscopic ultrasound-guided needle aspiration; transcervical extended bilateral mediastinal lymphadenectomy; non-small cell lung cancer

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MDPI and ACS Style

Szlubowski, A.; Zieliński, M.; Figura, J.; Hauer, J.; Sośnicki, W.; Pankowski, J.; Obrochta, A.; Jakubiak, M. Endoscopic Ultrasound-Guided Needle Aspiration in Lung Cancer. Adv. Respir. Med. 2009, 77, 357-362. https://doi.org/10.5603/ARM.27787

AMA Style

Szlubowski A, Zieliński M, Figura J, Hauer J, Sośnicki W, Pankowski J, Obrochta A, Jakubiak M. Endoscopic Ultrasound-Guided Needle Aspiration in Lung Cancer. Advances in Respiratory Medicine. 2009; 77(4):357-362. https://doi.org/10.5603/ARM.27787

Chicago/Turabian Style

Szlubowski, Artur, Marcin Zieliński, Joanna Figura, Jolanta Hauer, Witold Sośnicki, Juliusz Pankowski, Anna Obrochta, and Magdalena Jakubiak. 2009. "Endoscopic Ultrasound-Guided Needle Aspiration in Lung Cancer" Advances in Respiratory Medicine 77, no. 4: 357-362. https://doi.org/10.5603/ARM.27787

APA Style

Szlubowski, A., Zieliński, M., Figura, J., Hauer, J., Sośnicki, W., Pankowski, J., Obrochta, A., & Jakubiak, M. (2009). Endoscopic Ultrasound-Guided Needle Aspiration in Lung Cancer. Advances in Respiratory Medicine, 77(4), 357-362. https://doi.org/10.5603/ARM.27787

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