Evidence map›Paper›PMID 41293356›Full record

ArticleCureus2025

Bronchoscopic Diagnosis of Pulmonary Sarcoidosis Using Endobronchial Ultrasonography-Guided Transbronchial Needle Aspiration (EBUS-TBNA) and Transbronchial Lung Cryobiopsy (TBLC): A Safe and High-Yield Dual Approach.

Hiroaki Ota, Hiroya Kawasaki, Mitsukuni Sakabe, Kohei Yoshimine, Hinako Kori, Mizuki Muranaka, Hibiki Kiyosue, Motoki Yuasa, Kazunori Tobino

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Article in Cureus, 2025. 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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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Hiroaki OtaRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Hiroya KawasakiRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Mitsukuni SakabeRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Kohei YoshimineRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Hinako KoriRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Mizuki MuranakaRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Hibiki KiyosueRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Motoki YuasaRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.
Kazunori TobinoRespiratory Medicine, Iizuka Hospital, Iizuka, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial ultrasonography-guided transbronchial needle aspiration (EBUS-TBNA) and transbronchial lung cryobiopsy (TBLC) are widely used to diagnose pulmonary sarcoidosis. However, their combined diagnostic performances and safety profiles have not been comprehensively assessed.

methodsWe retrospectively analyzed 49 consecutive patients who underwent diagnostic bronchoscopy for suspected pulmonary sarcoidosis at a single center between June 2016 and December 2023. Patients were classified into five procedural groups based on the bronchoscopic modality used. The primary outcome was the diagnostic yield, and the secondary outcomes included adverse events and total procedure time.

resultsHistological confirmation was achieved in 87.8% of cases (43/49). The diagnostic yields were 93% for EBUS-TBNA alone, 71% for TBLC alone, and 100% when both were combined. This combination significantly outperformed each technique alone (p=0.003). TBLC did not significantly increase the procedure time or complications. Minor bleeding (grade 1) occurred in 12% of TBLC cases and was effectively managed. The diagnostic yield was positively associated with the number of biopsy samples and specific computed tomography (CT) patterns.

conclusionsThe combination of EBUS-TBNA and TBLC is a safe and highly effective diagnostic approach for pulmonary sarcoidosis, particularly in patients with nodular CT findings. This dual strategy may reduce the need for surgical biopsy and facilitate earlier diagnosis and treatment initiation.

Indexed as

bronchoscopydiagnostic yield and safetyebus-tbnaendobronchial ultrasound-transbronchial needle aspirationpulmonary sarcoidosistransbronchial lung cryobiopsy

Identifiers

PMID41293356
PMCPMC12641065

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