Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB)-technical review

被引：35

作者：

Cheng, George ^{[1
]}

Mahajan, Amit ^{[2
]}

Oh, Scott ^{[3
]}

Benzaquen, Sadia ^{[4
]}

Chen, Alexander ^{[5
]}

机构：

[1] Duke Univ Hosp, Div Pulm Allergy & Crit Care Med, Durham, NC USA

[2] Inova Fairfax Hosp, Inova Cardiac & Thorac Surg, Fairfax, VA USA

[3] Univ Calif Los Angeles, Med Ctr, Div Pulm Crit Care Med, Santa Monica, CA USA

[4] Univ Cincinnati, Sch Med, Div Pulm, Crit Care Med, Cincinnati, OH USA

[5] Washington Univ Hosp, Div Pulm, Crit Care Med, St Louis, MO USA

来源：

JOURNAL OF THORACIC DISEASE | 2019年 / 11卷 / 09期

关键词：

Endobronchial ultrasound (EBUS); transbronchial needle aspiration (TBNA); intranodal forceps biopsy (IEB); lymphadenopathy; miniforceps biopsy; TRANSBRONCHIAL NEEDLE ASPIRATION; EBUS-TBNA; MINIFORCEPS BIOPSY; DIAGNOSIS; LYMPHOMA; MUTATION; STANDARD;

D O I：

10.21037/jtd.2019.08.106

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Endobronchial ultrasound (EBUS) and transbronchial needle aspiration (TBNA) have changed the landscape of pulmonology. Mediastinal structures beyond the confines of airway walls are visualized in real-time with EBUS, leading to improved accuracy of tissue sampling and diagnostic yield. With the development of various needle sizes ranging from 25-G to 19-G, the sampling of lymph nodes is becoming easier and more commonplace. Yet, certain conditions such as sarcoidosis and lymphoma may still be difficult to diagnose via EBUS-TBNA. Furthermore, in the age of targeted therapy, there are more demands on EBUS-TBNA samples for molecular marker testing and next-generation sequencing. Here, we present a complementary methodology, EBUS-guided intranodal forceps biopsy (EBUS-IFB), for tissue acquisition that may help address these deficiencies. Specifically, we aim to propose indications, contraindications, outline approaches in performing IFB, and provide an overview of the data for this complementary technique.

引用

页码：4049 / 4058

页数：10

共 31 条

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