Diagnostic value and safety of contact laser-assisted endotracheal ultrasound-guided tunnel drilling biopsy in mediastinal and hilar lymphadenopathy: a retrospective study DOI Creative Commons
Wenyu Zhan, Tian Wang, Changqing Yang

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 25, 2024

Abstract Background: Mediastinal and hilar lymphadenopathies are primarily diagnosed pathologically. Compared to traditional endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), contact laser-assisted tunnel drilling biopsy (EBUS-TDB) using a laser as tunnelling incision tool may yield more satisfactory specimens, thereby improving the diagnostic yield. Therefore, this study aims evaluate value safety of EBUS-TDB compared EBUS-TBNA for mediastinal lymph nodes. Methods: This retrospective included patients who presented our hospital between October 2022 April 2024 with or nodes short diameter ≥ 1 cm on CT abnormally increased node metabolism PET-CT successively completed procedures. Results: Overall, 278 were in study, 244 cases confirmed. The rates (p-values) pulmonary extrapulmonary malignancies, lymphoma, sarcoidosis, tuberculosis 96.6% vs. 76.3% (0.043), 100% 67.7% (−), 88.9% 31.1% (0.555), 69.2% 30.8% (0.049), respectively. No serious adverse events occurred during after surgery. Conclusion: Contact EBUS-TBNB is superior diagnosis be used an alternative EBUS-TBNA.

Language: Английский

Diagnostic value and safety of contact laser-assisted endobronchial ultrasound-guided tunnel drilling biopsy in mediastinal and hilar lymphadenopathy: a retrospective study DOI Creative Commons
Wenyu Zhan, Tian Wang, Changqing Yang

et al.

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 30, 2025

Introduction Mediastinal and hilar lymphadenopathies are primarily diagnosed pathologically. Contact laser-assisted endobronchial ultrasound-guided tunnel drilling biopsy (EBUS-TDB), which uses a laser as tunneling incision tool, may yield more satisfactory specimens than conventional transbronchial needle aspiration (EBUS-TBNA), thereby improving the diagnostic yield. This study aims to evaluate value safety of contact EBUS-TDB compared EBUS-TBNA in assessment mediastinal lymph nodes. Methods retrospective included patients who presented our hospital between October 2022 April 2024 with or nodes short diameter ≥ 1 cm on computed tomography (CT) abnormally increased node metabolism positron emission (PET)-CT. All underwent both procedures successively. Results Overall, 278 were study, 244 cases confirmed. The rates ( p -values) for pulmonary extrapulmonary malignancies, lymphoma, sarcoidosis, tuberculosis 96.6% vs. 76.3% (0.043), 100% 67.7% (−), 88.9% 31.1% (0.555), 69.2% 30.8% (0.049), respectively. No serious adverse events occurred during after either procedure. Conclusion EBUS-TBNB demonstrates superior performance evaluation nodes, making it an alternative enhanced precision.

Language: Английский

Citations

0
Diagnostic value and safety of contact laser-assisted endotracheal ultrasound-guided tunnel drilling biopsy in mediastinal and hilar lymphadenopathy: a retrospective study DOI Creative Commons
Wenyu Zhan, Tian Wang, Changqing Yang

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 25, 2024

Abstract Background: Mediastinal and hilar lymphadenopathies are primarily diagnosed pathologically. Compared to traditional endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), contact laser-assisted tunnel drilling biopsy (EBUS-TDB) using a laser as tunnelling incision tool may yield more satisfactory specimens, thereby improving the diagnostic yield. Therefore, this study aims evaluate value safety of EBUS-TDB compared EBUS-TBNA for mediastinal lymph nodes. Methods: This retrospective included patients who presented our hospital between October 2022 April 2024 with or nodes short diameter ≥ 1 cm on CT abnormally increased node metabolism PET-CT successively completed procedures. Results: Overall, 278 were in study, 244 cases confirmed. The rates (p-values) pulmonary extrapulmonary malignancies, lymphoma, sarcoidosis, tuberculosis 96.6% vs. 76.3% (0.043), 100% 67.7% (−), 88.9% 31.1% (0.555), 69.2% 30.8% (0.049), respectively. No serious adverse events occurred during after surgery. Conclusion: Contact EBUS-TBNB is superior diagnosis be used an alternative EBUS-TBNA.

Language: Английский

Citations

0