Transbronchial needle aspiration in routine fiberoptic bronchoscopy

Matthias A Salathe, M. Soler, C. T. Bolliger, P. Dalquen, A. P. Perruchoud

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

The objective of this study was to evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine setting of a teaching hospital for the diagnosis and staging of bronchogenic carcinoma in comparison to the results of controlled clinical studies. We reviewed our results with Wang retractable needle catheters during a 9-month period. The needle catheters were used in 72 patients, 43 patients had a final diagnosis of bronchogenic carcinoma. Classical bronchial washes, brushings and forceps biopsies led to the diagnosis in 28 patients (65%). The addition of TBNA increased the diagnostic yield by 14% (6 patients) to 79% overall. In 32 patients staging of mediastinal lymph nodes was attempted. Positive TBNA proved inoperability in 9 patients. In 7 patients TBNA was used to investigate peripheral masses. Two patients had a malignant tumor, of which one was diagnosed by TBNA. Overall, TBNA revealed important information with clinical consequences in 16 of 72 patients (22%). There were no complications. We conclude that TBNA significantly increases the diagnostic yield of fiberoptic bronchoscopy and carries only a minimal risk. Our results, obtained in the clinical routine setting of a teaching hospital, are comparable to the reported results of controlled studies.

Original languageEnglish
Pages (from-to)5-8
Number of pages4
JournalRespiration
Volume59
Issue number1
StatePublished - Jan 1 1992
Externally publishedYes

Fingerprint

Bronchoscopy
Needles
Bronchogenic Carcinoma
Teaching Hospitals
Catheters
Surgical Instruments
Lymph Nodes
Biopsy

Keywords

  • Bronchial carcinoma
  • Routine fiberoptic bronchoscopy
  • Transbronchial needle aspiration

ASJC Scopus subject areas

  • Physiology
  • Pulmonary and Respiratory Medicine

Cite this

Salathe, M. A., Soler, M., Bolliger, C. T., Dalquen, P., & Perruchoud, A. P. (1992). Transbronchial needle aspiration in routine fiberoptic bronchoscopy. Respiration, 59(1), 5-8.

Transbronchial needle aspiration in routine fiberoptic bronchoscopy. / Salathe, Matthias A; Soler, M.; Bolliger, C. T.; Dalquen, P.; Perruchoud, A. P.

In: Respiration, Vol. 59, No. 1, 01.01.1992, p. 5-8.

Research output: Contribution to journalArticle

Salathe, MA, Soler, M, Bolliger, CT, Dalquen, P & Perruchoud, AP 1992, 'Transbronchial needle aspiration in routine fiberoptic bronchoscopy', Respiration, vol. 59, no. 1, pp. 5-8.
Salathe MA, Soler M, Bolliger CT, Dalquen P, Perruchoud AP. Transbronchial needle aspiration in routine fiberoptic bronchoscopy. Respiration. 1992 Jan 1;59(1):5-8.
Salathe, Matthias A ; Soler, M. ; Bolliger, C. T. ; Dalquen, P. ; Perruchoud, A. P. / Transbronchial needle aspiration in routine fiberoptic bronchoscopy. In: Respiration. 1992 ; Vol. 59, No. 1. pp. 5-8.
@article{eb982481295c455e85573650d5af52ad,
title = "Transbronchial needle aspiration in routine fiberoptic bronchoscopy",
abstract = "The objective of this study was to evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine setting of a teaching hospital for the diagnosis and staging of bronchogenic carcinoma in comparison to the results of controlled clinical studies. We reviewed our results with Wang retractable needle catheters during a 9-month period. The needle catheters were used in 72 patients, 43 patients had a final diagnosis of bronchogenic carcinoma. Classical bronchial washes, brushings and forceps biopsies led to the diagnosis in 28 patients (65{\%}). The addition of TBNA increased the diagnostic yield by 14{\%} (6 patients) to 79{\%} overall. In 32 patients staging of mediastinal lymph nodes was attempted. Positive TBNA proved inoperability in 9 patients. In 7 patients TBNA was used to investigate peripheral masses. Two patients had a malignant tumor, of which one was diagnosed by TBNA. Overall, TBNA revealed important information with clinical consequences in 16 of 72 patients (22{\%}). There were no complications. We conclude that TBNA significantly increases the diagnostic yield of fiberoptic bronchoscopy and carries only a minimal risk. Our results, obtained in the clinical routine setting of a teaching hospital, are comparable to the reported results of controlled studies.",
keywords = "Bronchial carcinoma, Routine fiberoptic bronchoscopy, Transbronchial needle aspiration",
author = "Salathe, {Matthias A} and M. Soler and Bolliger, {C. T.} and P. Dalquen and Perruchoud, {A. P.}",
year = "1992",
month = "1",
day = "1",
language = "English",
volume = "59",
pages = "5--8",
journal = "Respiration; international review of thoracic diseases",
issn = "0025-7931",
publisher = "S. Karger AG",
number = "1",

}

TY - JOUR

T1 - Transbronchial needle aspiration in routine fiberoptic bronchoscopy

AU - Salathe, Matthias A

AU - Soler, M.

AU - Bolliger, C. T.

AU - Dalquen, P.

AU - Perruchoud, A. P.

PY - 1992/1/1

Y1 - 1992/1/1

N2 - The objective of this study was to evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine setting of a teaching hospital for the diagnosis and staging of bronchogenic carcinoma in comparison to the results of controlled clinical studies. We reviewed our results with Wang retractable needle catheters during a 9-month period. The needle catheters were used in 72 patients, 43 patients had a final diagnosis of bronchogenic carcinoma. Classical bronchial washes, brushings and forceps biopsies led to the diagnosis in 28 patients (65%). The addition of TBNA increased the diagnostic yield by 14% (6 patients) to 79% overall. In 32 patients staging of mediastinal lymph nodes was attempted. Positive TBNA proved inoperability in 9 patients. In 7 patients TBNA was used to investigate peripheral masses. Two patients had a malignant tumor, of which one was diagnosed by TBNA. Overall, TBNA revealed important information with clinical consequences in 16 of 72 patients (22%). There were no complications. We conclude that TBNA significantly increases the diagnostic yield of fiberoptic bronchoscopy and carries only a minimal risk. Our results, obtained in the clinical routine setting of a teaching hospital, are comparable to the reported results of controlled studies.

AB - The objective of this study was to evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine setting of a teaching hospital for the diagnosis and staging of bronchogenic carcinoma in comparison to the results of controlled clinical studies. We reviewed our results with Wang retractable needle catheters during a 9-month period. The needle catheters were used in 72 patients, 43 patients had a final diagnosis of bronchogenic carcinoma. Classical bronchial washes, brushings and forceps biopsies led to the diagnosis in 28 patients (65%). The addition of TBNA increased the diagnostic yield by 14% (6 patients) to 79% overall. In 32 patients staging of mediastinal lymph nodes was attempted. Positive TBNA proved inoperability in 9 patients. In 7 patients TBNA was used to investigate peripheral masses. Two patients had a malignant tumor, of which one was diagnosed by TBNA. Overall, TBNA revealed important information with clinical consequences in 16 of 72 patients (22%). There were no complications. We conclude that TBNA significantly increases the diagnostic yield of fiberoptic bronchoscopy and carries only a minimal risk. Our results, obtained in the clinical routine setting of a teaching hospital, are comparable to the reported results of controlled studies.

KW - Bronchial carcinoma

KW - Routine fiberoptic bronchoscopy

KW - Transbronchial needle aspiration

UR - http://www.scopus.com/inward/record.url?scp=0026577747&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026577747&partnerID=8YFLogxK

M3 - Article

C2 - 1579719

AN - SCOPUS:0026577747

VL - 59

SP - 5

EP - 8

JO - Respiration; international review of thoracic diseases

JF - Respiration; international review of thoracic diseases

SN - 0025-7931

IS - 1

ER -