Diagnostic Yield of Endoscopic Ultrasound-Guided Fine Needle Aspiration in Lung Lesions
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background Tissue sampling from lung lesions is done by bronchoscopy, trans-thoracic needle aspiration lung biopsy, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), endobronchial ultrasound-guided FNA (EBUS-FNA), thoracenteses, or by surgery. Aim The aim of the present study was to evaluate the feasibility and safety of EUS-FNA of lung parenchymal lesions in nondiagnostic bronchoscopy or EBUS-FNA. Methods All consecutive patients who underwent EUS-FNA from solid central lung parenchymal lesions or lung with adrenal lesions after a failed EBUS or bronchoscopic biopsy with available histology were included. The indication for the procedure and clinical outcome measures like adverse events were recorded on uniform structured data forms. Results Of 62 mediastinal EUS-FNA procedures performed during the study, 13 EUS-FNA procedures were performed from central lung lesions with <2 cm from the esophageal wall and prior failed diagnostic bronchoscopy or EBUS-FNA. There were no adverse events in the study. Histologic confirmation was obtained in all the cases. Conclusions EUS-guided FNA of central lung lesions <2 cm from the esophageal wall is technically feasible without any adverse events in failed EBUS-FNA or bronchoscopy cases.
Source: Journal of Digestive Endoscopy
Authors: Avinash Bhat Balekuduru, Yeluri Koushik, Kolangara Veetil Santhosh, Manoj Kumar Sahu
Institution: M.S. Ramaiah Medical College
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408515259