Evidence map›Paper›PMID 34262775›Full record

ArticleRespirology case reports2021

Endobronchial ultrasound-guided transbronchial cryo-nodal biopsy: a novel approach for mediastinal lymph node sampling.

Hari Kishan Gonuguntla, Milap Shah, Nitesh Gupta, Sumita Agrawal, Venerino Poletti, Gustavo Cumbo Nacheli

Abstract readCase Reports
In one paragraph

Article in Respirology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

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  7. Scoping out sarcoidosis: the evolving role of bronchoscopy.European respiratory review : an official journal of the European Respiratory Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hari Kishan GonuguntlaDepartment of Interventional Pulmonology Yashoda Hospital Hyderabad India.ORCID https://orcid.org/0000-0002-1244-6339
Milap ShahDepartment of Laboratory Medicine Yashoda Hospital Hyderabad India.
Nitesh GuptaDepartment of Pulmonary, Critical Care and Sleep Medicine VMMC and Safdarjung Hospital New Delhi India.ORCID https://orcid.org/0000-0002-5842-5584
Sumita AgrawalDepartment of Pulmonary, Critical Care and Sleep Medicine Medipulse Hospital Jodhpur India.
Venerino PolettiDepartment of Diseases of the Thorax Ospedale GB Morgagni Forlì Italy.
Gustavo Cumbo NacheliDivision of Bronchoscopy and Interventional Pulmonology, Pulmonary and Critical Care Division Spectrum Health Medical Group Grand Rapids MI USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is preferred for evaluating malignant lymph nodes and staging of lung cancer. Nevertheless, larger tissue samples are increasingly needed, particularly for molecular analysis. We describe the feasibility, technical details, and complications of EBUS-guided transbronchial cryo-node biopsy (TBCNB) in four patients with mediastinal adenopathy. The samples obtained by EBUS-TBCNB in all cases were adequate for histopathological examination (HPE) and immunohistochemistry (IHC) staining. In case 1, HPE showed non-caseating epithelioid granuloma with giant cells and fibrosis consistent with sarcoidosis. Case 2 was diagnosed with adenocarcinoma with positivity for ROS1(D4D6). Case 3 showed features of metastatic adenocarcinoma from the breast (positive for Her2, ER, and GATA3). Case 4 was diagnosed with tuberculosis (necrotizing granuloma in histopathology, stain with Ziehl-Neelsen that showed few rod-shaped bacilli). Only one patient had minimal bleeding at the puncture site controlled with cold saline. There were no adverse events such as major bleeding, pneumomediastinum, or pneumothorax.

Indexed as

Cryo‐biopsyendoscopic ultrasound‐guided fine‐needle aspirationlymph nodesmediastinum

Identifiers

PMID34262775
PMCPMC8264746

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.