Labarca Gonzalo, Caviedes Iván, Folch Erik, Majid Adnan, Fernández-Bussy Sebastián
Facultad de Medicina, Universidad San Sebastián, Concepción, Chile.
Unidad Neumología Intervencionista, Universidad del Desarrollo, Santiago, Chile.
Rev Med Chil. 2017 Sep;145(9):1165-1171. doi: 10.4067/s0034-98872017000901165.
In the last years, several techniques have been developed to obtain a prompt diagnosis or rule out lung cancer. Endobronchial ultrasound- guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure with a high diagnostic yield for mediastinal and central pulmonary lesions. This procedure is especially useful for lung cancer diagnosis and mediastinal staging. Two different types of EBUS are currently available: Radial EBUS and lineal EBUS. Each one has technical differences together with a range of clinical indications. The aim of this review is to discuss about EBUS-TBNA and its current clinical indications, evidence about the accuracy of the procedure for lung cancer diagnosis and staging, and evaluation of the pathological and molecular studies (EGFR, ALK, and ROS1) obtained through EBUS-TBNA and rapid on-site evaluation (ROSE).
在过去几年中,已经开发出了多种技术来实现肺癌的快速诊断或排除。支气管内超声引导下经支气管针吸活检术(EBUS-TBNA)是一种微创手术,对纵隔和中央肺部病变具有较高的诊断率。该手术对于肺癌诊断和纵隔分期特别有用。目前有两种不同类型的EBUS:径向EBUS和线性EBUS。每种类型都有技术差异以及一系列临床适应症。本综述的目的是讨论EBUS-TBNA及其当前的临床适应症、该手术用于肺癌诊断和分期的准确性证据,以及对通过EBUS-TBNA和快速现场评估(ROSE)获得的病理和分子研究(EGFR、ALK和ROS1)的评估。