Concordance Between Rapid On-Site Evaluation and Final Cytologic Diagnosis in Patients Undergoing Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Non-Small Cell Lung Cancer Staging

被引：4

作者：

Caupena, Cristina ^{[1
]}

Esteban, Lluis ^{[1
]}

Jaen, Angels ^{[3
]}

Barreiro, Bienvenido ^{[1
]}

Albero, Raquel ^{[2
]}

Perez-Ochoa, Francisco ^{[2
]}

Pontes de Souza, Patricia ^{[2
]}

Gibert, Oriol ^{[2
]}

Ferrer, Carme ^{[2
]}

Forcada, Pilar ^{[2
]}

Garcia, Federico ^{[2
]}

Tarroch, Xavier ^{[2
]}

Sanz-Santos, Jose ^{[1
,4
,5
]}

机构：

[1] Hosp Univ Mutua Terrassa, Dept Pulmonol, Terrassa, Spain

[2] Hosp Univ Mutua Terrassa, Dept Pathol, Terrassa, Spain

[3] Mutua Terrassa Fdn, Res Unit, Terrassa, Spain

[4] Univ Barcelona, Dept Med, Barcelona, Spain

[5] Network Ctr Biomed Res Resp Dis Lung Canc Grp, Terrassa, Spain

来源：

AMERICAN JOURNAL OF CLINICAL PATHOLOGY | 2020年 / 153卷 / 02期

关键词：

Endobronchial ultrasound; Rapid on-site evaluation; Concordance; Lung cancer; Staging; ADEQUACY; SPECIMENS; TRIAL;

D O I：

10.1093/AJCP/AQZ146

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Objectives: In patients with lung cancer undergoing mediastinal staging through endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), decisions are based on rapid on-site evaluation (ROSE) findings. We aimed to analyze the concordance rate between ROSE diagnosis and final diagnosis. Methods: A prospective study was carried out in patients undergoing EBUS-TBNA for lung cancer staging. Diagnosis concordance was defined as cases where lymph nodes (LNs) presented the same diagnosis in ROSE and final diagnosis. Determinants of concordance were analyzed. Results: Sixty-four patients were included and 637 LNs sampled. ROSE diagnosis was concordant with final diagnosis in 612 (96.1%) LNs and nonconcordant in 25 (3.9%). Differences in the concordance rate were found between pathologists, ROSE diagnoses, presence of cell block, number of passes, and number of slides. The staging status was changed between ROSE and the final diagnosis in three (4.6%) patients. Conclusions: ROSE diagnosis has a high concordance with the final diagnosis.

引用

页码：190 / 197

页数：8

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