摘要
| 原文 | 英語 |
|---|---|
| 頁（從 - 到） | 124-129 |
| 頁數 | 6 |
| 期刊 | Journal of the Formosan Medical Association = Taiwan yi zhi |
| 卷 | 103 |
| 發行號 | 2 |
| 出版狀態 | 已發佈 - 二月 2004 |
| 對外發佈 | Yes |
指紋
Keywords
- Bronchoscopy
- Fiber optics
- Lung neoplasms
- Neoplasm staging
- Ultrasonography
ASJC Scopus subject areas
- Medicine(all)
引用此文
Diagnostic value of endobronchial ultrasound-guided transbronchial lung biopsy in peripheral lung cancers. / Yang, Mei Chen; Liu, Wen Te; Wang, Chun Hua; Lin, Horng Chyuan; Chen, Hao Cheng; Chou, Chun Liang; Hsueh, Swei; Kuo, Han Pin.
於: Journal of the Formosan Medical Association = Taiwan yi zhi, 卷 103, 編號 2, 02.2004, p. 124-129.研究成果: 雜誌貢獻 › 文章
}
TY - JOUR
T1 - Diagnostic value of endobronchial ultrasound-guided transbronchial lung biopsy in peripheral lung cancers
AU - Yang, Mei Chen
AU - Liu, Wen Te
AU - Wang, Chun Hua
AU - Lin, Horng Chyuan
AU - Chen, Hao Cheng
AU - Chou, Chun Liang
AU - Hsueh, Swei
AU - Kuo, Han Pin
PY - 2004/2
Y1 - 2004/2
N2 - Background and Purpose: The diagnostic yield of flexibel fiberoptic bronchoscopy for peripheral lung cancers is still limited. This study evaluated whether endobronchial ultrasound (EBUS) may help localized and improve the diagnostic yield of bronchoscopic transbrochial lung biopsy in peripheral lung cancer. Methods: Between July 2001 and May 2002, 218 patient received transbrochial lung biopsy during bronchoscopic examinations with (n = 122) or without EBUS guidance (n = 96) and had the presence of peripheral lung cancers subsequently confirmed. These 218 patients were included in this retrospective analysis. Results: The diagnostic accuracy of transbrochial lung biopsy was significantly increased under EBUS guidance for small cell carcinoma (65.6%) and for non-small cell carcinoma (42.7%) [p <0.01]. For peripheral lung cancer either smaller than 2 cm or larger than 2 cm, the diagnostic yield of transbronchial lung biopsy with EBUS guidance was significantly higher (66.0% vs 42.3%, p <0.0002 for mass larger than 2 cm; 54.5% vs 0%, p <0.04 for mass smaller than 2 cm). EBUS provided a better diagnostic yield (p=0.014; odds ratio, 0.219) for lesions localized at the left upper lobe, which are generally thought to be more difficult to a approach through bronchoscopy. There were no significant differences in complications between patients who underwent bronchoscopy with or without EBUS guidance. Conclusions: Under EBUS guidance, the diagnostic yield of transbrochial lung biopsy in peripheral lung cancer by bronchoscopic examination was significantly improved without difference in the complication rate.
AB - Background and Purpose: The diagnostic yield of flexibel fiberoptic bronchoscopy for peripheral lung cancers is still limited. This study evaluated whether endobronchial ultrasound (EBUS) may help localized and improve the diagnostic yield of bronchoscopic transbrochial lung biopsy in peripheral lung cancer. Methods: Between July 2001 and May 2002, 218 patient received transbrochial lung biopsy during bronchoscopic examinations with (n = 122) or without EBUS guidance (n = 96) and had the presence of peripheral lung cancers subsequently confirmed. These 218 patients were included in this retrospective analysis. Results: The diagnostic accuracy of transbrochial lung biopsy was significantly increased under EBUS guidance for small cell carcinoma (65.6%) and for non-small cell carcinoma (42.7%) [p <0.01]. For peripheral lung cancer either smaller than 2 cm or larger than 2 cm, the diagnostic yield of transbronchial lung biopsy with EBUS guidance was significantly higher (66.0% vs 42.3%, p <0.0002 for mass larger than 2 cm; 54.5% vs 0%, p <0.04 for mass smaller than 2 cm). EBUS provided a better diagnostic yield (p=0.014; odds ratio, 0.219) for lesions localized at the left upper lobe, which are generally thought to be more difficult to a approach through bronchoscopy. There were no significant differences in complications between patients who underwent bronchoscopy with or without EBUS guidance. Conclusions: Under EBUS guidance, the diagnostic yield of transbrochial lung biopsy in peripheral lung cancer by bronchoscopic examination was significantly improved without difference in the complication rate.
KW - Bronchoscopy
KW - Fiber optics
KW - Lung neoplasms
KW - Neoplasm staging
KW - Ultrasonography
KW - Bronchoscopy
KW - Fiber optics
KW - Lung neoplasms
KW - Neoplasm staging
KW - Ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=2542466087&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=2542466087&partnerID=8YFLogxK
M3 - Article
C2 - 15083243
AN - SCOPUS:2542466087
VL - 103
SP - 124
EP - 129
JO - Journal of the Formosan Medical Association
JF - Journal of the Formosan Medical Association
SN - 0929-6646
IS - 2
ER -