دورية أكاديمية
أعرض في EDS

Rapid On-site Evaluation and Final Cytologic Diagnoses Correlation During Endobronchial Ultrasonography.

التفاصيل البيبلوغرافية
العنوان: Rapid On-site Evaluation and Final Cytologic Diagnoses Correlation During Endobronchial Ultrasonography.
المؤلفون: Iliaz S; Departments of Pulmonology., Caglayan B; Departments of Pulmonology., Bulutay P; Pathology, Koc University Hospital, Istanbul, Turkey., Armutlu A; Pathology, Koc University Hospital, Istanbul, Turkey., Uzel I; Departments of Pulmonology., Ozturk AB; Departments of Pulmonology.
المصدر: Journal of bronchology & interventional pulmonology [J Bronchology Interv Pulmonol] 2022 Jul 01; Vol. 29 (3), pp. 191-197. Date of Electronic Publication: 2021 Sep 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101496866 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1948-8270 (Electronic) Linking ISSN: 19488270 NLM ISO Abbreviation: J Bronchology Interv Pulmonol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Wolters Kluwer Health/Lippincott Williams & Wilkins
مواضيع طبية MeSH: Adenocarcinoma*/diagnostic imaging , Adenocarcinoma*/pathology , Carcinoma, Non-Small-Cell Lung*/diagnostic imaging , Carcinoma, Non-Small-Cell Lung*/pathology , Lung Neoplasms*/diagnostic imaging , Lung Neoplasms*/pathology, Endoscopic Ultrasound-Guided Fine Needle Aspiration/methods ; Humans ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology ; Prospective Studies ; Rapid On-site Evaluation ; Retrospective Studies ; Ultrasonography
مستخلص: Background: The cost-effectiveness and low rate of inadequate sampling with the use of rapid on-site evaluation (ROSE) along with endobronchial ultrasonography (EBUS) is well established. Our aim in this study was to evaluate the correlation of ROSE during EBUS and final cytologic diagnosis and also to see if ROSE might predict the subtype of lung cancer.
Patients and Methods: All consecutive subjects who attended our clinic between January 2016 and January 2019 for the evaluation of pathologic mediastinal and/or hilar lymph nodes (LNs)/mass using EBUS were enrolled into our prospective study. ROSE was performed in the same operating room with EBUS. ROSE results during EBUS were recorded. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ROSE compared with the final cytologic diagnosis were evaluated.
Results: We enrolled 684 LN/mass lesions belonging to 328 patients into this study. When we compared ROSE results and final cytologic diagnosis, these procedures agreed on 91.6% of the LNs (P<0.001). The sensitivity of ROSE and final cytologic diagnosis for granulomatous inflammation was 72.5%, and for lung cancer, it was 89.2% (P<0.001). The sensitivity of ROSE for the adenocarcinoma subtype of lung cancer was 67.7%, and it was 70% for small cell lung cancer.
Conclusion: ROSE may help to recognize non-small cell lung cancer during EBUS, especially the adenocarcinoma subtype of lung cancer, which will help ensure having sufficient material for molecular analysis.
Competing Interests: Disclosure: There is no conflict of interest or other disclosures.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20220622 Date Completed: 20220623 Latest Revision: 20220623
رمز التحديث: 20231215
DOI: 10.1097/LBR.0000000000000809
PMID: 35730779
قاعدة البيانات: MEDLINE
الوصف
تدمد:1948-8270
DOI:10.1097/LBR.0000000000000809