Diagnostic utility of conventional transbronchial needle aspiration in older patients

被引:2
作者
Ulasli, Sevinc Sarinc [1 ]
Koksal, Deniz [1 ]
Karcioglu, Oguz [1 ]
Babaoglu, Elif [1 ]
Onder, Sevgen [2 ]
Emri, Salih [1 ,3 ]
机构
[1] Hacettepe Univ, Sch Med, Dept Pulm Dis, Ankara, Turkey
[2] Hacettepe Univ, Sch Med, Dept Pathol, Ankara, Turkey
[3] Altinbas Univ, Sch Med, Dept Pulm Dis, Istanbul, Turkey
关键词
Elderly; Conventional transbronchial needle aspiration; Diagnosis; Complication; ELDERLY-PATIENTS; EBUS-TBNA;
D O I
10.1007/s41999-018-0036-4
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background In older patients, diagnosis and initial treatment should be considered as soon as possible because of high disease burden and complications. Conventional transbronchial needle aspiration (C-TBNA) is an important and safe method for the diagnosis of mediastinal lesions and staging lung cancer in the general population. We aimed to evaluate the diagnostic utility and complications of C-TBNA procedure in older patients aged >= 65 years. Method We retrospectively evaluated C-TBNA results consecutively. Demographic data, clinical, radiological and flexible bronchoscopy (FB) findings, complications during C-TBNA and incidence of diagnostic C-TBNA with the presence of abundant lymphoid cells of polymorphous appearance both in patients aged >= 65 years and in younger patients were determined. Results C-TBNA was performed to a total of 317 patients, including 109 older and 208 younger patients attended to our clinic between 2012 and 2016. The mean ages of older and younger patients were 70.3 +/- 4.6 and 52.5 +/- 10 years, respectively (p < 0.001). Overall, 75.2% of older and 80.3% of younger patients had diagnostic C-TBNA. The diagnostic utility of C-TBNA did not differ significantly between older and younger patients (p = 0.297). During C-TBNA, one older patient had a complication of bronchospasm, and four younger patients had complications such as bleeding (n = 1) and bronchospasm (n = 3). There was no statistically significant difference between older and younger patients in terms of complications during C-TBNA procedure (p = 0.49). Conclusion C-TBNA is a safe procedure with similar diagnostic yield in older patients.
引用
收藏
页码:263 / 267
页数:5
相关论文
共 14 条
  • [1] Transbronchial Needle Aspiration: A Systematic Review on Predictors of a Successful Aspirate
    Bonifazi, Martina
    Zuccatosta, Lina
    Trisolini, Rocco
    Moja, Lorenzo
    Gasparini, Stefano
    [J]. RESPIRATION, 2013, 86 (02) : 123 - 134
  • [2] EBUS-TBNA in Elderly Patients with Lung Cancer Safety and Performance Outcomes
    Evison, Matthew
    Crosbie, Philip A. J.
    Martin, Julie
    Bishop, Paul
    Doran, Helen
    Joseph, Leena
    Chaturvedi, Anshuman
    Barber, Philip V.
    Booton, Richard
    [J]. JOURNAL OF THORACIC ONCOLOGY, 2014, 9 (03) : 370 - 376
  • [3] Conventional transbronchial needle aspiration in community practice
    Kupeli, Elif
    [J]. JOURNAL OF THORACIC DISEASE, 2015, 7 : S256 - S265
  • [4] Diagnostic yield of conventional transbronchial needle aspiration biopsy (C-TBNA) without an on-site cytopathologist: Experience of 363 procedures in 219 patients
    Ozturk, Ozge
    Sandal, Abdulsamet
    Karahan, Sevilay
    Er, Berrin
    Onder, Sevgen
    Koksal, Deniz
    Maden, Emin
    Emri, Salih
    [J]. TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX, 2016, 64 (02): : 137 - 143
  • [5] Invasive staging of non-small cell lung cancer - A review of the current evidence
    Toloza, EM
    Harpole, L
    Detterbeck, F
    McCrory, DC
    [J]. CHEST, 2003, 123 (01) : 157S - 166S
  • [6] Parameters affecting inhalation therapy adherence in elderly patients with chronic obstructive lung disease and asthma
    Turan, Onur
    Turan, Pakize Ayse
    Mirici, Arzu
    [J]. GERIATRICS & GERONTOLOGY INTERNATIONAL, 2017, 17 (06) : 999 - 1005
  • [7] Learning curve of conventional transbronchial needle aspiration
    Tutar, Nuri
    Buyukoglan, Hakan
    Yilmaz, Insu
    Kanbay, Asiye
    Onal, Omer
    Bilgin, Mehmet
    Canoz, Ozlem
    Demir, Ramazan
    Oyak, Fatma Sema
    Gulmez, Inci
    Cetinkaya, Erdogan
    [J]. CLINICAL RESPIRATORY JOURNAL, 2014, 8 (01) : 79 - 85
  • [8] Diagnostic utility of flexible bronchoscopy in elderly patients
    Ulasli, Sevinc Sarinc
    Gunay, Ersin
    Akar, Olcay
    Halici, Bilal
    Koyuncu, Tulay
    Unlu, Mehmet
    [J]. CLINICAL RESPIRATORY JOURNAL, 2014, 8 (03) : 357 - 363
  • [9] EBUS-TBNA: Popular but not universal
    Ulasli, Sevinc Sarinc
    Kupeli, Elif
    [J]. RESPIROLOGY, 2014, 19 (02) : 288 - 289
  • [10] Guideline for the Acquisition and Preparation of Conventional and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Specimens for the Diagnosis and Molecular Testing of Patients with Known or Suspected Lung Cancer
    van der Heijden, Erik H. F. M.
    Casal, Roberto F.
    Trisolini, Rocco
    Steinfort, Daniel P.
    Hwangbo, Bin
    Nakajima, Takahiro
    Guldhammer-Skov, Birgit
    Rossi, Giulio
    Ferretti, Maurizio
    Herth, Felix F. J.
    Yung, Rex
    Krasnik, Mark
    [J]. RESPIRATION, 2014, 88 (06) : 500 - 517