Application Progress of Endobronchial Ultrasound Guided Tranbronchial Needle Aspiration in Toracic Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIANGRun ¹ ,  LIQiang ^1,2

1. Postgraduate Institute, Guangxi Medical University, Nanning 530021, P. R. China;
2. Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu 610041, P. R. China;

Corresponding?author：

LIQiang, Email: liqiang1907@vip.sina.com

Keywords：

Lung cancer; Endobronchial ultrasound guided tranbronchial needle aspiration(EBUS-TBNA); Superior vena cava syndrome; Pulmonary sarcoidosis

DOI：

10.7507/1007-4848.20150128

Video：

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Endobronchial ultrasound guided tranbronchial needle aspiration (EBUS-TBNA) is a new technology developed in the past 10 years. In the USA, EBUS-TBNA has been recommended as an important means for preoperative lymph node staging of lung cancer, and becomes a new standard for mediastinal staging of lung cancer. A large number of clinical data shows that EBUS-TBNA is a novel approach which owes the advantages of accuracy in diagnosis and safety in operating. What's more, its value in the diagnosis of some disease in chest has been widely recognized. The aim of this article is to review the current application of EBUS-TBNA in the diagnosis of early lung cancer, diagnosis and tumor staging of advanced lung cancer, the relationship between EBUS-TBNA and traditional inspection including CT, positron emission tomography/computed tomography (PET) and mediastinoscopy, and the application value of EBUS-TBNA for superior vena cava syndrome and some non-neoplastic diseases.

Citation： XIANGRun, LIQiang. Application Progress of Endobronchial Ultrasound Guided Tranbronchial Needle Aspiration in Toracic Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(5): 496-499. doi: 10.7507/1007-4848.20150128 Copy

1.	Almeida, FA.Bronchoscopy and endobronchial ultrasound for diagnosis and staging of lung cancer. Cleve Clin J Med, 2012, 79(Electronic Suppl 1):eS11-eS16.
2.	趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術(EBUSTBNA)在肺癌縱隔淋巴結分期中的臨床應用.中國內鏡雜志, 2012, 18(10):1014-1017.
3.	Wahidi MM, Herth FJ, Ernst A. State of the art:interventional pulmonology. Chest, 2007, 131(1):261-274.
4.	Yasufuku K, Nakajima T, Fujiwara T, et al. Role of endobronchial ultrasoundguided transbronchial needle aspiration in the management of lung cancer. Gen Torac Cardiovasc Surg, 2008, 56(6):268-276.
5.	席雯, 穆新林.肺癌篩查方法與早期診斷.中國臨床醫生, 2013, 41(9):631-633.
6.	Detterbeck FC, Boffa DJ, Tanoue LT. Te new lung cancer staging system. Chest, 2009, 36(1):260-271.
7.	李進東.日本肺癌五年生存率給我們的啟示.大河報, 2011, 9(6):28A.
8.	李捷, 張紫寅, 王宏, 等. MSCT引導下穿刺活檢早期診斷肺癌的臨床應用價值.海南醫學, 2013, 24(15):2250-2252.
9.	Haussinger K, Becker H, Stanzel F, et al. Autofluorescence bmnchoscopy with white light bronchoscopy compared with white light bronchoscopy alone for the detection of precancerous lesions:a Eurepean randomised controlled muhicentre trial. Thorax, 2005, 60(6):496-503.
10.	張勇, 白春學.肺癌早期診斷進展.中華肺部疾病雜志(電子版), 2011, 4(5):350-355.
11.	Paone G, Nicastri E, Lucantoni G, et al. Endobronchial ultrasounddriven biopsy in the diagnosis of peripheral lung lesions. Chest, 2005, 128(5):3551-3557.
12.	Miyazu Y, Miyazawa T, Kurimoto N, et al. Endobronchial ultrasonography in the assessment of centrally located early-stage lung cancer before photodynamic therapy. Am J Respir Crit Care Med, 2002, 165(6):832-837.
13.	Siegel R, Naishadham D, Jemal A. Cancer statistics. CA Cancer J Clin, 2012, 62(1):10-29.
14.	廖日強, 楊學寧, 鐘文昭, 等.肺癌縱隔分期中聯合應用EBUSTBNA和EUS-FNA的Meta分析.循證醫學, 2012, 12(1):47-51.
15.	Vesselle H, Salskov A, Turcotte E, et al. Relationship between nonsmall cell lung cancer FDG uptake at PET, tumor histology, and Ki-[67] proliferation index. J Torac Oncol, 2008, 3(9):971-978.
16.	趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術在肺癌診斷中的應用價值.中國內鏡雜志, 2011, 17(2):124-127.
17.	Nalladaru ZM, Wessels A. Te role of mediastinoscopy for diagnosis of isolated mediastinal lymphadenopathy. Indian J Surg, 2011, 73(4):284-286.
18.	Ernst A, Anantham D, Eerhardt R, et al. Diagnosis of mediastinal adenopathy-Real-time endobronchial ultrasound guided needle aspiraton versus ediastinoscopy. Torac Oncol, 2008, 3(6):577-582.
19.	Bauwens O, Dusart M, Pierard P, et al. Endobronchial ultrasound and value of PET for prediction of pathological results of mediastinal hot spots in lung ancer patients. Lung Cancer, 2008, 61(3):356-361.
20.	Mountain CF, Dresler CM. Regional lymph node classifcation for lung cancer staging. Chest, 1997, 111(6):1718-1723.
21.	Zhang R, Ying K, Shi L, et al. Combined endobronchial and endoscopic ultrasound-guided fne needle aspiration for mediastinal lymph node staging of lung cancer:a meta-analysis. Eur J Cancer, 2013, 49(8):1860-1867.
22.	Sharples LD, Jackson C, Wheaton E, et al. Clinical effectiveness and cost-effectiveness of endobronchial and endoscopic ultrasound relative to surgical staging in potentially resectable lung cancer:results from the ASTER randomised controlled trial. Health Technol Assess, 2012, 16(18):1-75.
23.	Kitamura A, Takiguchi Y, Kurosu K, et al. Feasibility of cytological diagnosis of sarcoidosis with endobronchial US-guided transbron chial aspiration. Sarcoidosis Vasc Diffuse Lung Dis, 2012, 29(2):82-89.
24.	Gu P, Zhao YZ, Jiang LY, et al. Endobronchial uhrasound guided transbronchial needle aspiration for staging of lung cancer:A systematic review and meta-analysis. Eur J Cancer, 2009, 45(8):1389-1396.
25.	Yasufuku K, Pierre A, Darling G, et al. A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph node staging of lung cancer. J Torac Cardiovasc Surg, 2011, 142(6):1393-1400.
26.	Adams K, Shah PL, Edmonds L, et al. Test performance of endobronchial ultrasound and transbronchial needle aspiration biopsy for mediastinal staging in patients with lung cancer:Systematic review and meta-analysis. Torax, 2009, 64(9):757-762.
27.	張良, 毛鋒, 蔡明輝, 等.縱隔鏡與EBUS-TBNA對肺癌診斷和分期價值的比較研究.中國肺癌雜志, 2013, 16(6):289-293.
28.	Lepper PM, Ott SR, Hoppe H, et al. Superior vena cava syndrome in thoracic malignancies. Respir Care, 2011, 56(5):653-666.
29.	Pop D, Venissac N, Nadeemy AS, et al. Video-assisted mediastinoscopy in superior vena cava obstruction:to fear or not to fear? J Torac Oncol, 2012, 7(2):386-389.
30.	Kokkonouzis I, Strimpakos AS, Lampaditis I, et al. The role of endobronchial ultrasound in lung cancer diagnosis and staging:comprehensive review. Clin Lung Cancer, 2012, 13(6):408-415.
31.	Kishi K, Sonomura T, Mitsuzane K, et al. Self-expandab1e metallic stent therapy for superior vena cava syndrome:clinical observations. Radiology, 1993, 189(2):531-535.
32.	李士杰, 曹長琦, 吳齊, 等. EBUS-TBNA對上腔靜脈綜合征診斷價值分析.中華腫瘤防治雜志, 2013, 20(10):768-771.
33.	Wong MK, Tam TC, Lam DC, et al. EBUS-TBNA in patients presented with superior vena cava syndrome. Lung Cancer, 2012, 77(2):277-280.
34.	Nakajima T, Yasufuku K, Kurosu K, et al. Te role of EBUS-TBNA for the diagnosis of sarcoidosis-comparisons with other broncho scopic diagnostic modalities. Respir Med, 2009, 103(12):1796-1800.
35.	Tromblay A, Stather DR, Maceachem P, et al. A randomized controlled trial of standard vs endobronchial ultrasonography-guided transbronchial needle aspiration in patients with suspected sarcoidosis. Chest, 2009, 136(2):340-346.
36.	Navani N, Booth HL, Kocjan G, et al. Combination of endobronchial ultrasound-guided transbronchial needle aspiration with standard bronchoscopic techniques for the diagnosis of stageⅠand stageⅡpulmonary sarcoidosis. Respirology, 2011, 16(3):467-472.
37.	趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術在胸部疾病中的臨床應用價值.中國胸心血管外科臨床雜志, 2010, 17(5):353-356.
38.	Codecasa LR, Besozzi G, De CL, et al. Epidemiological and clinical patterns of intrathoracic lymph node tuberculosis in 60 human immunodeficiency virus-negative adult patients. Monaldi Arch Chest Dis, 1998, 53(3):277-280.
39.	Navani N, Molyneaux PL, Breen RA, et al. Utility of endobronchial ultrasound-guided transbronchial needle aspiration in patients with tuberculous intrathoracic lymphadenopathy:a multicentre study. Torax, 2011, 66(10):889-893.

1. Almeida, FA.Bronchoscopy and endobronchial ultrasound for diagnosis and staging of lung cancer. Cleve Clin J Med, 2012, 79(Electronic Suppl 1):eS11-eS16.
2. 趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術(EBUSTBNA)在肺癌縱隔淋巴結分期中的臨床應用.中國內鏡雜志, 2012, 18(10):1014-1017.
3. Wahidi MM, Herth FJ, Ernst A. State of the art:interventional pulmonology. Chest, 2007, 131(1):261-274.
4. Yasufuku K, Nakajima T, Fujiwara T, et al. Role of endobronchial ultrasoundguided transbronchial needle aspiration in the management of lung cancer. Gen Torac Cardiovasc Surg, 2008, 56(6):268-276.
5. 席雯, 穆新林.肺癌篩查方法與早期診斷.中國臨床醫生, 2013, 41(9):631-633.
6. Detterbeck FC, Boffa DJ, Tanoue LT. Te new lung cancer staging system. Chest, 2009, 36(1):260-271.
7. 李進東.日本肺癌五年生存率給我們的啟示.大河報, 2011, 9(6):28A.
8. 李捷, 張紫寅, 王宏, 等. MSCT引導下穿刺活檢早期診斷肺癌的臨床應用價值.海南醫學, 2013, 24(15):2250-2252.
9. Haussinger K, Becker H, Stanzel F, et al. Autofluorescence bmnchoscopy with white light bronchoscopy compared with white light bronchoscopy alone for the detection of precancerous lesions:a Eurepean randomised controlled muhicentre trial. Thorax, 2005, 60(6):496-503.
10. 張勇, 白春學.肺癌早期診斷進展.中華肺部疾病雜志(電子版), 2011, 4(5):350-355.
11. Paone G, Nicastri E, Lucantoni G, et al. Endobronchial ultrasounddriven biopsy in the diagnosis of peripheral lung lesions. Chest, 2005, 128(5):3551-3557.
12. Miyazu Y, Miyazawa T, Kurimoto N, et al. Endobronchial ultrasonography in the assessment of centrally located early-stage lung cancer before photodynamic therapy. Am J Respir Crit Care Med, 2002, 165(6):832-837.
13. Siegel R, Naishadham D, Jemal A. Cancer statistics. CA Cancer J Clin, 2012, 62(1):10-29.
14. 廖日強, 楊學寧, 鐘文昭, 等.肺癌縱隔分期中聯合應用EBUSTBNA和EUS-FNA的Meta分析.循證醫學, 2012, 12(1):47-51.
15. Vesselle H, Salskov A, Turcotte E, et al. Relationship between nonsmall cell lung cancer FDG uptake at PET, tumor histology, and Ki-[67] proliferation index. J Torac Oncol, 2008, 3(9):971-978.
16. 趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術在肺癌診斷中的應用價值.中國內鏡雜志, 2011, 17(2):124-127.
17. Nalladaru ZM, Wessels A. Te role of mediastinoscopy for diagnosis of isolated mediastinal lymphadenopathy. Indian J Surg, 2011, 73(4):284-286.
18. Ernst A, Anantham D, Eerhardt R, et al. Diagnosis of mediastinal adenopathy-Real-time endobronchial ultrasound guided needle aspiraton versus ediastinoscopy. Torac Oncol, 2008, 3(6):577-582.
19. Bauwens O, Dusart M, Pierard P, et al. Endobronchial ultrasound and value of PET for prediction of pathological results of mediastinal hot spots in lung ancer patients. Lung Cancer, 2008, 61(3):356-361.
20. Mountain CF, Dresler CM. Regional lymph node classifcation for lung cancer staging. Chest, 1997, 111(6):1718-1723.
21. Zhang R, Ying K, Shi L, et al. Combined endobronchial and endoscopic ultrasound-guided fne needle aspiration for mediastinal lymph node staging of lung cancer:a meta-analysis. Eur J Cancer, 2013, 49(8):1860-1867.
22. Sharples LD, Jackson C, Wheaton E, et al. Clinical effectiveness and cost-effectiveness of endobronchial and endoscopic ultrasound relative to surgical staging in potentially resectable lung cancer:results from the ASTER randomised controlled trial. Health Technol Assess, 2012, 16(18):1-75.
23. Kitamura A, Takiguchi Y, Kurosu K, et al. Feasibility of cytological diagnosis of sarcoidosis with endobronchial US-guided transbron chial aspiration. Sarcoidosis Vasc Diffuse Lung Dis, 2012, 29(2):82-89.
24. Gu P, Zhao YZ, Jiang LY, et al. Endobronchial uhrasound guided transbronchial needle aspiration for staging of lung cancer:A systematic review and meta-analysis. Eur J Cancer, 2009, 45(8):1389-1396.
25. Yasufuku K, Pierre A, Darling G, et al. A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph node staging of lung cancer. J Torac Cardiovasc Surg, 2011, 142(6):1393-1400.
26. Adams K, Shah PL, Edmonds L, et al. Test performance of endobronchial ultrasound and transbronchial needle aspiration biopsy for mediastinal staging in patients with lung cancer:Systematic review and meta-analysis. Torax, 2009, 64(9):757-762.
27. 張良, 毛鋒, 蔡明輝, 等.縱隔鏡與EBUS-TBNA對肺癌診斷和分期價值的比較研究.中國肺癌雜志, 2013, 16(6):289-293.
28. Lepper PM, Ott SR, Hoppe H, et al. Superior vena cava syndrome in thoracic malignancies. Respir Care, 2011, 56(5):653-666.
29. Pop D, Venissac N, Nadeemy AS, et al. Video-assisted mediastinoscopy in superior vena cava obstruction:to fear or not to fear? J Torac Oncol, 2012, 7(2):386-389.
30. Kokkonouzis I, Strimpakos AS, Lampaditis I, et al. The role of endobronchial ultrasound in lung cancer diagnosis and staging:comprehensive review. Clin Lung Cancer, 2012, 13(6):408-415.
31. Kishi K, Sonomura T, Mitsuzane K, et al. Self-expandab1e metallic stent therapy for superior vena cava syndrome:clinical observations. Radiology, 1993, 189(2):531-535.
32. 李士杰, 曹長琦, 吳齊, 等. EBUS-TBNA對上腔靜脈綜合征診斷價值分析.中華腫瘤防治雜志, 2013, 20(10):768-771.
33. Wong MK, Tam TC, Lam DC, et al. EBUS-TBNA in patients presented with superior vena cava syndrome. Lung Cancer, 2012, 77(2):277-280.
34. Nakajima T, Yasufuku K, Kurosu K, et al. Te role of EBUS-TBNA for the diagnosis of sarcoidosis-comparisons with other broncho scopic diagnostic modalities. Respir Med, 2009, 103(12):1796-1800.
35. Tromblay A, Stather DR, Maceachem P, et al. A randomized controlled trial of standard vs endobronchial ultrasonography-guided transbronchial needle aspiration in patients with suspected sarcoidosis. Chest, 2009, 136(2):340-346.
36. Navani N, Booth HL, Kocjan G, et al. Combination of endobronchial ultrasound-guided transbronchial needle aspiration with standard bronchoscopic techniques for the diagnosis of stageⅠand stageⅡpulmonary sarcoidosis. Respirology, 2011, 16(3):467-472.
37. 趙輝, 王俊, 李劍鋒, 等.支氣管內超聲引導針吸活檢術在胸部疾病中的臨床應用價值.中國胸心血管外科臨床雜志, 2010, 17(5):353-356.
38. Codecasa LR, Besozzi G, De CL, et al. Epidemiological and clinical patterns of intrathoracic lymph node tuberculosis in 60 human immunodeficiency virus-negative adult patients. Monaldi Arch Chest Dis, 1998, 53(3):277-280.
39. Navani N, Molyneaux PL, Breen RA, et al. Utility of endobronchial ultrasound-guided transbronchial needle aspiration in patients with tuberculous intrathoracic lymphadenopathy:a multicentre study. Torax, 2011, 66(10):889-893.

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