Aim of the study: To show the reliability and the safety of transbronchial needle aspiration (TBNA) in the diagnosis of ilo-mediastinal masses and staging of bronchogenic carcinoma. Patients and methods: 484 consecutive TBNA of lymph nodes or mediastinal masses were performed between August '95 and October '99 in 407 patients aged 26 to 94; in 454 cases lymph nodes were punctured, whereas in 31 other lesions were targeted. Results: In a total of 185 cases (38%) a specific pathologic diagnosis was achieved. In 310 (30%) out of 1020 paratracheobronchial stations or neoplastic sites tested the sample was non diagnostic, in 295 (29%) a positive diagnosis was formulated, as well as in 394 (39%) a negative result and in 22 (2%) an uncertain result were achieved. A positive result was obtained in 107/186 (58%) lymph nodes >2 cm and in 218/621 (35%) lymph nodes >1 cm. TBNA results were confirmed in 31/39 patients undergone surgery. No major complication occurred. Conclusions: Our data confirm the reliability of TBNA, which can therefore be proposed as first-line technique in the diagnosis and staging of mediastinal-pulmonary disease, owing to its low invasiveness, safety and cost-effectiveness.
|Translated title of the contribution||Diagnosis and staging of mediastinal-pulmonary disease by transbronchial needle aspiration (T.B.N.A.)|
|Number of pages||5|
|Publication status||Published - 2000|
ASJC Scopus subject areas
- Internal Medicine