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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Main Authors: Amit Dhamija, Abhinav Guliani, Arup K Basu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Lung India
Subjects:
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.
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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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AT abhinavguliani endobronchialultrasoundguidedintranodalforcepsbiopsyebusifbusing19gneedletractfirstcaseseriesfromindia
AT arupkbasu endobronchialultrasoundguidedintranodalforcepsbiopsyebusifbusing19gneedletractfirstcaseseriesfromindia