Synonyms
Definition
Similar to FNA, the procedure consists in aspirate single cells or fragments of cells/tissue with a needle passing through the bronchial wall and under ultrasound (US) guidance from a mass in the lungs, in the pulmonary hilum or in the mediastinum.
Principle
Endobronchial ultrasound-guided (EBUS) transbronchial needle aspiration (TBNA) has been introduced as an innovative and less aggressive technique to diagnose lung and mediastinal diseases and for lung carcinoma staging.
Methodology
It is the association of bronchoscopy and ultrasound imaging (Endobronchial ultrasound-guided, EBUS) with cytology aspiration (transbronchial needle aspiration, TBNA) to obtain, through the bronchial wall, adequate material from both lung parenchyma, mediastinal lymph nodes and mediastinal masses. It can be associated with ROSE (see pertinent chapter).
Quality Aspects
EBUS-TBNA is a minimally invasive, safe, and cost-effective procedure. Similar to...
References and Further Reading
Herth, F., Becker, H. D., & Ernst, A. (2004). Conventional vs endobronchial ultrasound-guided transbronchial needle aspiration: A randomized trial. Chest, 125, 322–325.
Monaco, S. E., Khalbuss, W. E., & Pantanowitz, L. (2014). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): A practical approach. Basel: Karger.
Righi, L., Franzi, F., Montarolo, F., et al. (2017). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)-from morphology to molecular testing. Journal of Thoracic Disease, 9(Suppl 5), S395–S404.
VanderLaan, P. A., et al. (2014). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): An overview and update for the cytopathologist. Cancer Cytopathology, 122(8), 561–576.
Yasufuku, K., Nakajima, T., Motoori, K., et al. (2006). Comparison of endobronchial ultrasound, positron emission tomography, and CT for lymph node staging of lung cancer. Chest, 130, 710–718.
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Bongiovanni, M. (2021). Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA). In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5069-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_5069-1
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