Transbronchial lung cryobiopsy for peripheral pulmonary lesions. A narrative review

被引：8
作者：
Tang, Y. [1 ,2 ,3 ]
Tian, S. [1 ,2 ]
Chen, H. [1 ]
Li, X. [1 ,4 ]
Pu, X. [3 ]
Zhang, X. [5 ]
Zheng, Y. [3 ]
Li, Y. [2 ]
Huang, H. [1 ]
Bai, C. [1 ]
机构：
[1] Naval Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Shanghai 200433, Peoples R China
[2] 906 Hosp Chinese Peoples Liberat Army Joint Logist, Dept Resp & Crit Care Med, Ningbo, Peoples R China
[3] Guizhou Univ Tradit Chinese Med, Basic Med Sch, Guiyang, Guizhou, Peoples R China
[4] Gen Hosp Cent Theater Command Chinese Peoples Libe, Dept Resp & Crit Care Med, Wuhan, Peoples R China
[5] Guizhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Resp & Crit Care Med, Guiyang, Guizhou, Peoples R China
来源：
PULMONOLOGY | 2024年 / 30卷 / 05期
基金：
中国国家自然科学基金;
关键词：
Transbronchial lung cryobiopsy; Peripheral pulmonary lesions; Diagnosis; Lung cancer; Radial endobronchial ultrasound; RADIAL ENDOBRONCHIAL ULTRASOUND; FLEXIBLE BRONCHOSCOPY; BIOPSY; CRYOPROBE; DIAGNOSIS; PATHOLOGY; SAFETY;
D O I：
10.1016/j.pulmoe.2023.08.010
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
An increasing number of peripheral pulmonary lesions (PPLs) requiring tissue verification to establish a definite diagnosis for further individualized management are detected due to the growing adoption of lung cancer screening by chest computed tomography (CT), especially low-dose CT. However, the morphological diagnosis of PPLs remains challenging. Transbronchial lung cryobiopsy (TBLC) that can retrieve larger specimens with more preserved cellular architecture and fewer crush artifacts in comparison with conventional transbronchial forceps biopsy (TBFB), as an emerging technology for diagnosing PPLs, has been demonstrated to have the potential to resolve the clinical dilemma pertaining to currently available sampling devices (e.g., forceps, needle and brush) and become a diagnostic cornerstone for PPLs. Of note, with the introduction of the 1.1 mm cryoprobe that will be more compatible with advanced bronchoscopic navigation techniques, such as radial endobronchial ultrasound (r-EBUS), virtual bronchoscopic navigation (VBN) and electromagnetic navigation bronchoscopy (ENB), the use of TBLC is expected to gain more popularity in the diagnosis of PPLs. While much remains for exploration using the TBLC technique for diagnosing PPLs, it can be envisaged that the emergence of additional studies with larger data accrual will hopefully add to the body of evidence in this field.
引用
收藏
页码：475 / 484
页数：10
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