Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India
EBUS-TBNA is a well-established procedure for diagnosis of mediastinal lymphadenopathy replacing the need for mediastinoscopy. In certain diseases like lymphomas, the yield is reportedly 50%, sarcoidosis lymph nodes also give a yield of 80% with EBUS and at times, more material is needed for better...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Lung India |
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Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=285;epage=288;aulast=Dhamija |
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author | Amit Dhamija Abhinav Guliani Arup K Basu |
author_facet | Amit Dhamija Abhinav Guliani Arup K Basu |
author_sort | Amit Dhamija |
collection | DOAJ |
description | EBUS-TBNA is a well-established procedure for diagnosis of mediastinal lymphadenopathy replacing the need for mediastinoscopy. In certain diseases like lymphomas, the yield is reportedly 50%, sarcoidosis lymph nodes also give a yield of 80% with EBUS and at times, more material is needed for better characterization of malignancies. EBUS-intranodal forceps biopsy may be useful in these situations. In our series of seven cases, we describe a unique and safe technique of obtaining forceps biopsy from mediastinal lymph nodes under real-time endobronchial ultrasound guidance using a 19G EBUS-TBNA needle tract and thin biopsy forceps. Lymph node biopsy was able to give a conclusive diagnosis in 42% patients negative with TBNA, and was able to suggest a diagnosis in one case. No complications were seen. Thus, surgical biopsy can be avoided in nearly 50% of failed EBUS-FNAC cases. |
first_indexed | 2024-03-12T22:35:28Z |
format | Article |
id | doaj.art-66eb0ac99eb244ad895f0416f7b63146 |
institution | Directory Open Access Journal |
issn | 0970-2113 0974-598X |
language | English |
last_indexed | 2024-03-12T22:35:28Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Lung India |
spelling | doaj.art-66eb0ac99eb244ad895f0416f7b631462023-07-21T12:45:12ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2023-01-0140328528810.4103/lungindia.lungindia_321_22Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from IndiaAmit DhamijaAbhinav GulianiArup K BasuEBUS-TBNA is a well-established procedure for diagnosis of mediastinal lymphadenopathy replacing the need for mediastinoscopy. In certain diseases like lymphomas, the yield is reportedly 50%, sarcoidosis lymph nodes also give a yield of 80% with EBUS and at times, more material is needed for better characterization of malignancies. EBUS-intranodal forceps biopsy may be useful in these situations. In our series of seven cases, we describe a unique and safe technique of obtaining forceps biopsy from mediastinal lymph nodes under real-time endobronchial ultrasound guidance using a 19G EBUS-TBNA needle tract and thin biopsy forceps. Lymph node biopsy was able to give a conclusive diagnosis in 42% patients negative with TBNA, and was able to suggest a diagnosis in one case. No complications were seen. Thus, surgical biopsy can be avoided in nearly 50% of failed EBUS-FNAC cases.http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=285;epage=288;aulast=Dhamijaebusfnacifbintranodal biopsymini-forceps19g needlelung cancermediastinal adenopathy |
spellingShingle | Amit Dhamija Abhinav Guliani Arup K Basu Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India Lung India ebus fnac ifb intranodal biopsy mini-forceps 19g needle lung cancer mediastinal adenopathy |
title | Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India |
title_full | Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India |
title_fullStr | Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India |
title_full_unstemmed | Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India |
title_short | Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using 19G needle tract: First case series from India |
title_sort | endobronchial ultrasound guided intranodal forceps biopsy ebus ifb using 19g needle tract first case series from india |
topic | ebus fnac ifb intranodal biopsy mini-forceps 19g needle lung cancer mediastinal adenopathy |
url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2023;volume=40;issue=3;spage=285;epage=288;aulast=Dhamija |
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