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ORIGINAL ARTICLE Endobronchial Ultrasonography in Bronchoscopic Occult Pulmonary Lesions Christophe A. Dooms, MD,* Eric K. Verbeken, MD, PhD,† Heinrich D. Becker, MD, FCCP,‡ Maurits G. Demedts, MD, PhD,* and Johan F. Vansteenkiste, MD, PhD* the absence of radiographic fluoroscopic guidance, it can Introduction: The diagnostic yield of flexible bronchoscopy for often be difficult to identify the correct distance and bronchial peripheral pulmonary lesions is variable and often limited. Endo- access to a peripheral pulmonary lesion 20 mm. bronchial ultrasonography (EBUS) has been reported to help local- Endobronchial ultrasonography (EBUS) using a mini- ize a bronchoscopic occult pulmonary lesion and thereby improve probe has been reported to be useful in confirming the the diagnostic yield of transbronchial biopsy (TBB). accurate bronchial route and obtaining a histologic diagnosis Methods: We evaluated the yield of EBUS-guided TBB in 50 2,3 of peripheral pulmonary lesions. consecutive patients with a bronchoscopic occult pulmonary lesion. In this study, the diagnostic efficacy of EBUS-guided Results: The mean diameter of the lesions was 36.6 mm (SD 19.7 transbronchial biopsy (TBB), in the absence of radiographic mm). We could visualize 74% of the bronchoscopic occult lesions fluoroscopic guidance, was evaluated in a series of consecu- with EBUS,
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Feb 1, 2007
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