Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases

Background: Besides clarifying the etiology of unidentified lymphadenomegaly, puncturing hilar and mediastinal lymph nodes by a flexible bronchoscopic needle is an aid in diagnosing and staging bronchogenic cancer or other metastatic cancers and diagnosing other inflammatory diseases i.e. sarcoidosi...

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Main Authors: Hala Mohamed Shalaby Samaha, Amro Abd Elhamid Moawad, Abdelhady Mohamed Shebl
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-07-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0422763815201033
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author Hala Mohamed Shalaby Samaha
Amro Abd Elhamid Moawad
Abdelhady Mohamed Shebl
author_facet Hala Mohamed Shalaby Samaha
Amro Abd Elhamid Moawad
Abdelhady Mohamed Shebl
author_sort Hala Mohamed Shalaby Samaha
collection DOAJ
description Background: Besides clarifying the etiology of unidentified lymphadenomegaly, puncturing hilar and mediastinal lymph nodes by a flexible bronchoscopic needle is an aid in diagnosing and staging bronchogenic cancer or other metastatic cancers and diagnosing other inflammatory diseases i.e. sarcoidosis tuberculosis. Objective: Our study had the principal objective to evaluate the positivity of transbronchial needle aspiration (TBNA). Method: We retrospectively reviewed 36 patients using bronchoscopy and histopathological reports and corresponding patients chart over 3 years from January, 2009 to December, 2012 at the department of chest disease at Mansoura University. Results: A total of 38 underwent FFB procedures. 2 (5%) patients were excluded due to incomplete follow up data. The yield of TBNA was positive in 22 patients (61%), of them 9 patients (25%) were positive for malignancy and 13 patients (36%) were diagnosed as inflammatory disease i.e. tuberculosis or sarcoidosis. Only 3 patients (8%) had documented bleeding after TBNA and, bleeding stopped spontaneously. No mortality was reported due to this procedure. Conclusion: Our study indicated that this method is safe, easy to perform, with a minimum of complications and useful for the diagnosis and staging of pulmonary neoplasms and mediastinal lymph node enlargement.
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spelling doaj.art-99b1f3d61a0c46bfa3f7ca8d6ae14f632022-12-22T01:21:08ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382015-07-0164374574810.1016/j.ejcdt.2015.02.008Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 casesHala Mohamed Shalaby Samaha0Amro Abd Elhamid Moawad1Abdelhady Mohamed Shebl2Thoracic Medicine Department,Faculty of Medicine, Mansoura University, EgyptThoracic Medicine Department,Faculty of Medicine, Mansoura University, EgyptPathology Department,Faculty of Medicine, Mansoura University, EgyptBackground: Besides clarifying the etiology of unidentified lymphadenomegaly, puncturing hilar and mediastinal lymph nodes by a flexible bronchoscopic needle is an aid in diagnosing and staging bronchogenic cancer or other metastatic cancers and diagnosing other inflammatory diseases i.e. sarcoidosis tuberculosis. Objective: Our study had the principal objective to evaluate the positivity of transbronchial needle aspiration (TBNA). Method: We retrospectively reviewed 36 patients using bronchoscopy and histopathological reports and corresponding patients chart over 3 years from January, 2009 to December, 2012 at the department of chest disease at Mansoura University. Results: A total of 38 underwent FFB procedures. 2 (5%) patients were excluded due to incomplete follow up data. The yield of TBNA was positive in 22 patients (61%), of them 9 patients (25%) were positive for malignancy and 13 patients (36%) were diagnosed as inflammatory disease i.e. tuberculosis or sarcoidosis. Only 3 patients (8%) had documented bleeding after TBNA and, bleeding stopped spontaneously. No mortality was reported due to this procedure. Conclusion: Our study indicated that this method is safe, easy to perform, with a minimum of complications and useful for the diagnosis and staging of pulmonary neoplasms and mediastinal lymph node enlargement.http://www.sciencedirect.com/science/article/pii/S0422763815201033Transbronchial lymph node aspirationMediastinal lymph nodeCancerSarcoidosis
spellingShingle Hala Mohamed Shalaby Samaha
Amro Abd Elhamid Moawad
Abdelhady Mohamed Shebl
Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
Egyptian Journal of Chest Disease and Tuberculosis
Transbronchial lymph node aspiration
Mediastinal lymph node
Cancer
Sarcoidosis
title Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
title_full Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
title_fullStr Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
title_full_unstemmed Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
title_short Yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
title_sort yield of transbronchial needle aspiration of mediastinal lymph nodes of 36 cases
topic Transbronchial lymph node aspiration
Mediastinal lymph node
Cancer
Sarcoidosis
url http://www.sciencedirect.com/science/article/pii/S0422763815201033
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AT amroabdelhamidmoawad yieldoftransbronchialneedleaspirationofmediastinallymphnodesof36cases
AT abdelhadymohamedshebl yieldoftransbronchialneedleaspirationofmediastinallymphnodesof36cases