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  • Endobronhialni ultrazvok v diagnostiki povečanih mediastinalnih bezgavk in perifernih pljučnih lezij = Endobronchial ultrasound in diagnosis of enlarged mediastinal lymph nodes and peripheral pulmonary lesions
    Triller, Nadja ; Kecelj, Peter, 1965- ; Kern, Izidor
    Background. Endobronchial ultrasound (EBUS) is a diagnostic procedure that allows visualisation of tracheobronchial and peribronchial lesions, mediastinal lymph nodes, adjacent vascular structures ... and peripheral pulmonarylesions. EBUS improves diagnostic yield of transbronchial needle aspiration (TBNA) and bronchoscopic lung biopsy (BLB). We examined the diagnostic yield of EBUS guided TBNA and BLB in clinical circumstances. Patients and method. EBUS was performed in 105 subjects with enlarged mediastinal lymph nodes or peripheral pulmonary lesions, detected on chest X-ray andlor CT-scan. Bronchoscopy was performed under topical lidocaine mucosal anaesthesia. A radial, 20 MHz ultrasound probe was advanced through the working channel of the fiberbronchoscope. After the region of interest hadbeen localised, TBNA or BLB were performed. Samples were reviewed by a cytopathologist. Results. One-hundred and five patients, 83 male and 22 female, aged between 20 and 79 years (median age 55 years), undenvent EBUS examination. TBNA of enlarged lymph nodes was performed in 75 patients and BLBof peripheral pulmonary lesions in 30 of them. Lymph nodes pathology was correctly diagnosed in 65 (87%). Thirfy patients had measurable peripheral pulmonary lesions. The mean diameter of the lesion was 34 mm (18 mm - 80 mm). Samples taken with EBUS were diagnostic in 24 (80%) patients. No major complications were encountered after EBUS guided TBNA and BLB. The procedure was tolerafed well. Conclusions. EBUS guided TBNA and BLB are well tolerated procedures and have few complications. The diagnostic yield for both procedures is high.
    Vir: Zbornik predavanj (Str. 89-94)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2004
    Jezik - slovenski
    COBISS.SI-ID - 18583257

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