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Diagnostic yield of rapid on-site evaluation transbronchial needle aspiration versus conventional transbronchial needle aspiration: a single center experience

Authors :
Giuseppe La Cerra
Mariacarolina Micheli
Carmelindo M.E. Tranfa
Adriano Costigliola
Cristiano Cesaro
Carmine Guarino
Nadia Corcione
Riccardo Smeraglio
Rosario Salvi
Mariano Mollica
Salvatore Cirillo
Guarino, C.
Mollica, M.
Cesaro, C.
Costigliola, A.
Micheli, M. C.
Corcione, N.
La Cerra, G.
Tranfa, C.
Cirillo, S.
Smeraglio, R.
Salvi, R.
Source :
Monaldi Archives for Chest Disease, Vol 90, Iss 1 (2020)
Publication Year :
2020
Publisher :
PAGEPress Publications, 2020.

Abstract

Trans-bronchial needle aspiration allows lymph node sampling in several thoracic conditions; the ability of Rapid On-Site Evaluation (ROSE) to predict the final diagnosis in this setting has not been well characterized. We performed a retrospective study to establish the utility of ROSE in the diagnosis of thoracic diseases with mediastinal lymph node involvement. We retrospectively reviewed 297 patients with hilar-mediastinal lymph node enlargement detected at CT scan from January 2013 to April 2016. 201 patients underwent conventional TBNA; in 96 patients, TBNA procedure was performed by on-site presence of a team of pathologists and research morphologists. Lung neoplasms, sarcoidosis, infections and lymphoma were the most common diseases diagnosed with TBNA samples. TBNA simultaneously performed in combination with ROSE produced an increase in percentage of appropriate samples compared to single cTBNA (adequate samples cTBNA vs ROSE-TBNA: 73% vs 81%; p

Details

Language :
English
ISSN :
25325264 and 11220643
Volume :
90
Issue :
1
Database :
OpenAIRE
Journal :
Monaldi Archives for Chest Disease
Accession number :
edsair.doi.dedup.....64fc354d9953216494c2981f80d3206b