Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap

Abstract Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is useful for diagnosing hilar and mediastinal lymph node enlargement; however, specimens obtained are often small and inadequate for pathologic diagnosis. In June 2017, EchoTip ProCore, a puncture needle with a si...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kazuhito Miyazaki, Yuya Hirasawa, Masaharu Aga, Naoto Aiko, Yusuke Hamakawa, Yuri Taniguchi, Yuki Misumi, Yoko Agemi, Tsuneo Shimokawa, Hiroyuki Hayashi, Katsuhiko Naoki, Hiroaki Okamoto
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2164bd340453438f9330e3c630dafb3a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2164bd340453438f9330e3c630dafb3a
record_format	dspace
spelling	oai:doaj.org-article:2164bd340453438f9330e3c630dafb3a2021-12-02T16:51:49ZExamination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap10.1038/s41598-021-89244-x2045-2322https://doaj.org/article/2164bd340453438f9330e3c630dafb3a2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89244-xhttps://doaj.org/toc/2045-2322Abstract Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is useful for diagnosing hilar and mediastinal lymph node enlargement; however, specimens obtained are often small and inadequate for pathologic diagnosis. In June 2017, EchoTip ProCore, a puncture needle with a side trap, was launched in Japan. In this single-center prospective interventional study, 57 patients with lymph nodes, intrapulmonary tumor or pleural mass were diagnosed using EBUS-TBNA with EchoTip ProCore between June 2017 and February 2020. EBUS-TBNA was performed for 57 patients and 53 patients had sufficient specimen for histologic diagnosis. The following pathologic subtypes were diagnosed: non-small cell lung cancer, 22; small cell lung cancer, 8; cancer of unknown primary, 2; neuroendocrine tumor (G2) recurrence, 1; lymphoma, 2; metastatic renal cell carcinoma, 3; thymoma recurrence, 1; sarcoidosis, 4; tuberculosis, 1; and non-malignancy, 9. In addition, the cytology showed Class V in 31 out of 57 cases (54.4%). In total, a definitive pathological diagnosis was obtained in 50 out of 57 cases (87.7%). The only complication was pneumonia caused by BAL simultaneously combined with EBUS-TBNA in one patient. Among 13 patients with inadequate specimens or without malignancy, only one patient was subsequently diagnosed with malignancy, and the median follow-up period was 300 days. EBUS-TBNA using EchoTip ProCore can obtain a sufficient specimen size for pathologic diagnosis.Kazuhito MiyazakiYuya HirasawaMasaharu AgaNaoto AikoYusuke HamakawaYuri TaniguchiYuki MisumiYoko AgemiTsuneo ShimokawaHiroyuki HayashiKatsuhiko NaokiHiroaki OkamotoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kazuhito Miyazaki Yuya Hirasawa Masaharu Aga Naoto Aiko Yusuke Hamakawa Yuri Taniguchi Yuki Misumi Yoko Agemi Tsuneo Shimokawa Hiroyuki Hayashi Katsuhiko Naoki Hiroaki Okamoto Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
description	Abstract Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is useful for diagnosing hilar and mediastinal lymph node enlargement; however, specimens obtained are often small and inadequate for pathologic diagnosis. In June 2017, EchoTip ProCore, a puncture needle with a side trap, was launched in Japan. In this single-center prospective interventional study, 57 patients with lymph nodes, intrapulmonary tumor or pleural mass were diagnosed using EBUS-TBNA with EchoTip ProCore between June 2017 and February 2020. EBUS-TBNA was performed for 57 patients and 53 patients had sufficient specimen for histologic diagnosis. The following pathologic subtypes were diagnosed: non-small cell lung cancer, 22; small cell lung cancer, 8; cancer of unknown primary, 2; neuroendocrine tumor (G2) recurrence, 1; lymphoma, 2; metastatic renal cell carcinoma, 3; thymoma recurrence, 1; sarcoidosis, 4; tuberculosis, 1; and non-malignancy, 9. In addition, the cytology showed Class V in 31 out of 57 cases (54.4%). In total, a definitive pathological diagnosis was obtained in 50 out of 57 cases (87.7%). The only complication was pneumonia caused by BAL simultaneously combined with EBUS-TBNA in one patient. Among 13 patients with inadequate specimens or without malignancy, only one patient was subsequently diagnosed with malignancy, and the median follow-up period was 300 days. EBUS-TBNA using EchoTip ProCore can obtain a sufficient specimen size for pathologic diagnosis.
format	article
author	Kazuhito Miyazaki Yuya Hirasawa Masaharu Aga Naoto Aiko Yusuke Hamakawa Yuri Taniguchi Yuki Misumi Yoko Agemi Tsuneo Shimokawa Hiroyuki Hayashi Katsuhiko Naoki Hiroaki Okamoto
author_facet	Kazuhito Miyazaki Yuya Hirasawa Masaharu Aga Naoto Aiko Yusuke Hamakawa Yuri Taniguchi Yuki Misumi Yoko Agemi Tsuneo Shimokawa Hiroyuki Hayashi Katsuhiko Naoki Hiroaki Okamoto
author_sort	Kazuhito Miyazaki
title	Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
title_short	Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
title_full	Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
title_fullStr	Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
title_full_unstemmed	Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
title_sort	examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2164bd340453438f9330e3c630dafb3a
work_keys_str_mv	AT kazuhitomiyazaki examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT yuyahirasawa examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT masaharuaga examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT naotoaiko examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT yusukehamakawa examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT yuritaniguchi examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT yukimisumi examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT yokoagemi examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT tsuneoshimokawa examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT hiroyukihayashi examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT katsuhikonaoki examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap AT hiroakiokamoto examinationofendobronchialultrasoundguidedtransbronchialneedleaspirationusingapunctureneedlewithasidetrap
_version_	1718382906719600640

Examination of endobronchial ultrasound-guided transbronchial needle aspiration using a puncture needle with a side trap

Ejemplares similares