Usefulness of a Lung Cancer Rapid Diagnosis Specialist Clinic. Contribution of Ultrasound Bronchoscopy

José Sanz-Santos, Felipe Andreo, Dan Sánchez, Eva Castellá, Maria Llatjós, Jordi Bechini, Ignasi Guasch, Pedro López De Castro, Josep Roca, Isidre Parra, Eduard Monsó

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12 Citations (Scopus)

Abstract

Objective: To analyse the results obtained in the diagnosis and staging of lung cancer (LC) by a Lung Cancer Rapid Diagnosis Unit (LC-RDU) in which real. -time endobronchial ultrasound-guided transbronchial needle aspiration (RT-EBUS guided-TBNA) is performed as part of the clinical evaluation of the patient prior to treatment. Method: A four year observational study was conducted on a group of patients evaluated due to suspicion of LC in an LC-RDU. The times and the techniques required for the diagnosis and identifying the level of the disease in the initial staging were recorded. Results: Out of a total of 678 patients seen in the LC-RDU, the diagnosis in 352 was confirmed in one or more histopathology samples. In 170 patients (48.2%) the diagnosis was made with biopsies and/ or cytology samples obtained by fibrobronchoscopy, and RT-EBUS guided-TBNA confirmed the clinical suspicion in 70 patients (19.9%). In the 280 patients with SCLC, 166 RT-EBUS guided-TBNA were performed for staging (59.3%), and in 105 of them the technique only showed local disease (37.5%). Therapeutic surgery was performed on 83 of these patients, and was radical in 73 cases (87.9%). Conclusion: In half of the patients referred to the LC-RDU due to suspected LC, the diagnosis was confirmed in 75% of cases using endoscopic techniques. RT-EBUS guided-TBNA was the diagnostic technique in 20% of the cases, for staging in more than half of them, and led to reduced waiting times for the diagnosis and starting treatment. © 2010 SEPAR.
Original languageEnglish
Pages (from-to)640-645
JournalArchivos de Bronconeumologia
Volume46
Issue number12
DOIs
Publication statusPublished - 1 Jan 2010

Keywords

  • Endobronchial ultrasound
  • Lung cancer
  • Rapid diagnosis unit
  • Time to diagnosis
  • Transbronchial needle aspiration

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    Sanz-Santos, J., Andreo, F., Sánchez, D., Castellá, E., Llatjós, M., Bechini, J., Guasch, I., López De Castro, P., Roca, J., Parra, I., & Monsó, E. (2010). Usefulness of a Lung Cancer Rapid Diagnosis Specialist Clinic. Contribution of Ultrasound Bronchoscopy. Archivos de Bronconeumologia, 46(12), 640-645. https://doi.org/10.1016/S1579-2129(10)70139-7