Journal article

The accuracy of EUS-FNA in assessing mediastinal lymphadenopathy and staging patients with NSCLC

G Caddy, M Conron, G Wright, P Desmond, D Hart, RY Chen

European Respiratory Journal | EUROPEAN RESPIRATORY SOC JOURNALS LTD | Published : 2005

Abstract

Optimal management of nonsmall cell lung cancer (NSCLC) depends on tissue diagnosis and accurate staging. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is minimally invasive and provides cytological confirmation of malignant mediastinal disease. The aim was to assess the accuracy of EUS-FNA in cases of enlarged mediastinal lymphadenopathy (LN) of unknown aetiology and in the staging of NSCLC. A total of 52 consecutive patients with stage I-IIIb NSCLC or enlarged mediastinal LN of unknown aetiology underwent EUS-FNA. Negative results were confirmed with a surgical procedure: mediastinoscopy, video-assisted thoracic surgery (VATS) or lobectomy with systematic mediastinal lymph ..

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