Endobronchial ultrasound guided transbronchial cryobiopsy versus forceps biopsy in peripheral lung lesions.
bronchoscopy
interventional pulmonology
lung cancer
pathology
Journal
The clinical respiratory journal
ISSN: 1752-699X
Titre abrégé: Clin Respir J
Pays: England
ID NLM: 101315570
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
16
07
2020
revised:
24
09
2020
accepted:
23
10
2020
pubmed:
29
10
2020
medline:
19
8
2021
entrez:
28
10
2020
Statut:
ppublish
Résumé
Radial probe endobronchial ultrasound (RP-EBUS) is a modern technique for diagnosis of peripheral lung lesions. It is assumed that the addition of transbronchial cryobiopsy (TBCB) could increase the diagnostic value for RP-EBUS. The main objectives were to evaluate the efficacy and safety of RP-EBUS-guided TBCB for diagnosis of peripheral lung lesions and comparing it with RP-EBUS-guided transbronchial forceps biopsy. Sixty patients with peripheral lung diseases were divided into two groups. Group I included 45 patients who were eligible for TBCB and they subjected to forceps transbronchial biopsy (forceps TBB) and TBCB guided by RP-EBUS. Fifteen patients who were not eligible for TBCB were included in group II and they were subjected to forceps TBB and/or cytology retrieval procedures guided by RP-EBUS. In group I, forceps TBB had sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of; 67.5%, 100%, 100%, 18.8%, and 69.8%, respectively, while TBCB had sensitivity, specificity, PPV, NPV, and accuracy of 75%, 100%, 100%, 23.1%, and 76.7%, respectively. The sensitivity in group II was 80% and the overall results including both groups were sensitivity, specificity, PPV, NPV, and accuracy of 85.2%, 100%, 100%, 42.8%, and 86.7%, respectively. Regarding the complications, only one patient (1.7%) had significant bleeding. One patient (1.7%) had pneumothorax and another patient (1.7%) suffered from hypoxemia. RP-EBUS-guided TBCB is a safe and effective technique for diagnosis of peripheral lung lesions. TBCB has achieved higher diagnostic values and better quality of samples.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
320-328Subventions
Organisme : Ministry of High Education - Egypt
Organisme : The Spanish Association of Respiratory Endoscopy and Interventional Pulmonology (AEER)
Organisme : Catalan Foundation of Pulmonology (FUCAP)
Organisme : Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES)
Organisme : The Spanish Society of Pulmonology and Thoracic Surgery (SEPAR)
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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