Evidence map›Paper›PMID 26816545›Full record

ArticleThoracic cancer2016

Efficacy and adequacy of conventional transbronchial needle aspiration of IASLC stations 4R, 4L and 7 using endobronchial landmarks provided by the Wang nodal mapping system in the staging of lung cancer.

Qinghua Liu, Songyan Han, Sixto Arias, J Francis Turner, Hans Lee, Robert Browning, Ko-Pen Wang

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Article in Thoracic cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Qinghua LiuDepartment of Respiratory Medicine Shandong Provincial Hospital Affiliated to Shandong University Jinan China.
Songyan HanDepartment of Respiratory Diseases Shanxi Cancer Hospital Taiyuan China.
Sixto AriasInterventional Pulmonology Division of Pulmonary Medicine and Critical Care Johns Hopkins University School of Medicine Baltimore Maryland USA.
J Francis TurnerDivision of Pulmonary and Critical Care Medicine University of Tennessee Graduate School of Medicine Knoxville Tennessee USA.
Hans LeeInterventional Pulmonology Division of Pulmonary Medicine and Critical Care Johns Hopkins University School of Medicine Baltimore Maryland USA.
Robert BrowningInterventional Pulmonology Walter Reed National Military Medical Center Bethesda Maryland USA.
Ko-Pen WangInterventional Pulmonology Division of Pulmonary Medicine and Critical Care Johns Hopkins University School of Medicine Baltimore Maryland USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of transbronchial needle aspiration (TBNA) in the diagnosis and staging of lung cancer has been well established. Recently, the efficacy of conventional TBNA in the staging of lung cancer has been enhanced by the use of endobronchial ultrasound (EBUS)-TBNA. Our study sought to evaluate the adequacy of TBNA of International Association for the Study of Lung Cancer (IASLC) stations 4R, 4L and 7 using endobronchial landmarks provided by the Wang nodal mapping system in the staging of lung cancer.

methodsWe retrospectively analyzed all bronchoscopic cases with conventional TBNA punctures positive for malignancy at our institution from 1 January to 31 October 2014. The endobronchial puncture site was guided by the Wang nodal mapping system. The Wang stations were correlated with the IASLC lymph node map. No endobronchial ultrasound or rapid on-site evaluation was used. Pathological analysis included cytological and histological examination.

resultsDiagnosis by histological analysis was obtained in 115 (55.3%) out of 208 puncture sites. The metastatic lymph nodes were distributed at IASLC stations 4R (W1, 3, 5) 46.6 %, 7 (W2, 8, 10) 19.7%, 4L (W4, 6) 11.5%, 11R (W7, W9) 11.1% 11L (W11) 9.6%, 2R (high station W3) 0.5%, and the proximal portion of station 8 (station W10 beyond the middle lobe orifice) 1%. No complications were observed.

conclusionIASLC station 4R (W1, 3, 5), 7 (W2, 8, 10) and 4L (W4, 6) are adequate for the staging of lung cancer.

Indexed as

BronchoscopyEBUSlung cancertransbronchial needle aspiration

Identifiers

PMID26816545
PMCPMC4718122

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