The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 578-583 , March 2010

Evaluation of mediastinal lymph nodes with endobronchial ultrasound: The thoracic surgeon's perspective

  • Rafael S. Andrade, MD

      Affiliations

    • Department of Surgery, Division of General Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minn
    • Corresponding Author InformationAddress for reprints: Rafael S. Andrade, MD, Division of General Thoracic and Foregut Surgery, MMC 207, 420 Delaware St SE, Minneapolis, MN 55455.
    • ,
  • Shawn S. Groth, MD

      Affiliations

    • Department of Surgery, Division of General Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minn
    • ,
  • Natasha M. Rueth, MD

      Affiliations

    • Department of Surgery, Division of General Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minn
    • ,
  • Jonathan D'Cunha, MD, PhD

      Affiliations

    • Department of Surgery, Division of General Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minn
    • ,
  • Stefan E. Pambuccian, MD

      Affiliations

    • Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minn
    • ,
  • Michael A. Maddaus, MD, FACS

      Affiliations

    • Department of Surgery, Division of General Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minn

Received 2 May 2009 ,Revised 29 October 2009 ,Accepted 13 November 2009.

References 

  1. Gu P, Zhao YZ, Jiang LY, Zhang W, Xin Y, Han BH. Endobronchial ultrasound-guided transbronchial needle aspiration for staging of lung cancer: a systematic review and meta-analysis. Eur J Cancer. 2009;45:1389–1396
  2. Groth SS, Whitson BA, D'Cunha J, Maddaus MA, Alsharif M, Andrade RS. Endobronchial ultrasound-guided fine-needle aspiration of mediastinal lymph nodes: a single institution's early learning curve. Ann Thorac Surg. 2008;86:1104–1110
  3. Herth FJ, Becker HD, Ernst A. Ultrasound-guided transbronchial needle aspiration: an experience in 242 patients. Chest. 2003;123:604–607
  4. Vincent BD, El-Bayoumi E, Hoffman B, Doelken P, DeRosimo J, Reed C, et al. Real-time endobronchial ultrasound-guided transbronchial lymph node aspiration. Ann Thorac Surg. 2008;85:224–230
  5. Yasufuku K, Chiyo M, Sekine Y, Chhajed PN, Shibuya K, Iizasa T, et al. Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes. Chest. 2004;126:122–128
  6. Rintoul RC, Tournoy KG, El Daly H, Carroll NR, Buttery RC, van Kralingen K, et al. EBUS-TBNA for the clarification of PET positive intra-thoracic lymph nodes-an international multi-centre experience. J Thorac Oncol. 2009;4:44–48
  7. Szlubowski A, Kuzdzal J, Kolodziej M, Soja J, Pankowski J, Obrochta A, et al. Endobronchial ultrasound-guided needle aspiration in the non-small cell lung cancer staging. Eur J Cardiothorac Surg. 2009;35:332–336
  8. Coughlin M, Deslauriers J, Beaulieu M, Fournier B, Piraux M, Rouleau J, et al. Role of mediastinoscopy in pretreatment staging of patients with primary lung cancer. Ann Thorac Surg. 1985;40:556–560
  9. Cybulsky IJ, Bennett WF. Mediastinoscopy as a routine outpatient procedure. Ann Thorac Surg. 1994;58:176–178
  10. Hammoud ZT, Anderson RC, Meyers BF, Guthrie TJ, Roper CL, Cooper JD, et al. The current role of mediastinoscopy in the evaluation of thoracic disease. J Thorac Cardiovasc Surg. 1999;118:894–899
  11. Lemaire A, Nikolic I, Petersen T, Haney JC, Toloza EM, Harpole DH, et al. Nine-year single center experience with cervical mediastinoscopy: complications and false negative rate. Ann Thorac Surg. 2006;82:1185–1190
  12. Luke WP, Pearson FG, Todd TR, Patterson GA, Cooper JD. Prospective evaluation of mediastinoscopy for assessment of carcinoma of the lung. J Thorac Cardiovasc Surg. 1986;91:53–56
  13. Patterson GA, Ginsberg RJ, Poon PY, Cooper JD, Goldberg M, Jones D, et al. A prospective evaluation of magnetic resonance imaging, computed tomography, and mediastinoscopy in the preoperative assessment of mediastinal node status in bronchogenic carcinoma. J Thorac Cardiovasc Surg. 1987;94:679–684
  14. Pauwels M, Van Schil P, De Backer W, Van den Brande F, Eyskens E. Repeat mediastinoscopy in the staging of lung cancer. Eur J Cardiothorac Surg. 1998;14:271–273
  15. Groth SS, Andrade RS. Endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal lymph node staging in non-small cell lung cancer. Semin Thorac Cardiovasc Surg. 2008;20:274–278
  16. Herth FJ, Eberhardt R, Vilmann P, Krasnik M, Ernst A. Real-time endobronchial ultrasound guided transbronchial needle aspiration for sampling mediastinal lymph nodes. Thorax. 2006;61:795–798
  17. Herth FJ, Eberhardt R, Krasnik M, Ernst A. Endobronchial ultrasound-guided transbronchial needle aspiration of lymph nodes in the radiologically and positron emission tomography-normal mediastinum in patients with lung cancer. Chest. 2008;133:887–891
  18. Alsharif M, Andrade RS, Groth SS, Stelow EB, Pambuccian SE. Endobronchial ultrasound-guided transbronchial fine-needle aspiration: the University of Minnesota experience, with emphasis on usefulness, adequacy assessment, and diagnostic difficulties. Am J Clin Pathol. 2008;130:434–443
  19. Baker JJ, Solanki PH, Schenk DA, Van Pelt C, Ramzy I. Transbronchial fine needle aspiration of the mediastinum. Importance of lymphocytes as an indicator of specimen adequacy. Acta Cytol. 1990;34:517–523
  20. Puli SR, Reddy JBK, Bechtold ML, Antillon D, Ibdah JA, Antillon MR. Staging accuracy of esophageal cancer by endoscopic ultrasound: a meta-analysis and systematic review. World J Gastroenterol. 2008;14:1479–1490

 Disclosures: None.

PII: S0022-5223(09)01472-X

doi: 10.1016/j.jtcvs.2009.11.017

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 578-583 , March 2010

Article Tools

* Image Usage & Resolution