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Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Mediastinal Lymphadenopathy

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Abstract

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) is accepted as a safe and minimally invasive modality for evaluation of mediastinal pathologies in adults. There is scanty literature on the utilization and performance characteristics of Convex probe EBUS-TBNA in children. The authors herein describe two pediatric patients with mediastinal lymphadenopathy wherein the underlying diagnosis was unclear based on the clinico-radiological profile. A possibility of lymphoma was considered in one of the patients. EBUS-TBNA was performed for obtaining tissue samples from the enlarged mediastinal lymph nodes and diagnosis of tuberculosis was established in both the patients. The authors review the available literature on Pediatric EBUS TBNA. EBUS-TBNA is an exciting and promising approach towards safe and accurate evaluation of mediastinal pathologies in children. Pediatric EBUS-TBNA needs further evaluation in prospective studies.

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Acknowledgments

The authors acknowledge the valuable guidance from Prof. Pramod Garg (Department of Gastroenterology, AIIMS) towards initiating the pediatric EBUS-TBNA procedures. They also would like to thank the support staff of the bronchoscopy laboratory at the Department of Pulmonary Medicine and Sleep Disorders.

Contributions

KM, AM: Performed the EBUS-TBNA procedures and were involved in manuscript preparation; IIA: Assisting the EBUS-TBNA procedure and manuscript preparation; DJ: Cytopathology interpretation; RG: Manuscript review and suggestions; SKK: Manuscript preparation and manuscript review. SKK and RG will act as guarantor for this paper.

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None.

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Authors and Affiliations

  1. Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India

    Karan Madan, Irfan Ismail Ayub, Anant Mohan & Randeep Guleria

  2. Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

    Deepali Jain

  3. Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

    Sushil K. Kabra

Authors
  1. Karan Madan
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  2. Irfan Ismail Ayub
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  3. Anant Mohan
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  4. Deepali Jain
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  5. Randeep Guleria
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  6. Sushil K. Kabra
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Corresponding author

Correspondence to Karan Madan.

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Madan, K., Ayub, I.I., Mohan, A. et al. Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Mediastinal Lymphadenopathy. Indian J Pediatr 82, 378–380 (2015). https://doi.org/10.1007/s12098-014-1665-3

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  • DOI: https://doi.org/10.1007/s12098-014-1665-3

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