Transbronchial Needle Aspiration in the Diagnosis of Submucosal and Peribronchial Bronchogenic Carcinoma.

Chung, Jae Ho; Choi, Jeong Eun; Park, Moo Suk; Kim, Young Sam; Chang, Joon; Kim, Sung Kyu; Kim, Se Kyu

doi:2004.56.4.374

Tuberc Respir Dis > Volume 56(4); 2004 > Article

Original Article

Tuberculosis and Respiratory Diseases 2004;56(4):374-380.
DOI: https://doi.org/10.4046/trd.2004.56.4.374 Published online April 1, 2004.

Transbronchial Needle Aspiration in the Diagnosis of Submucosal and Peribronchial Bronchogenic Carcinoma.

Jae Ho Chung, Jeong Eun Choi, Moo Suk Park, Young Sam Kim, Joon Chang, Sung Kyu Kim, Se Kyu Kim

¹Department of Internal Medicine, Kwandong University College of Medicine, Myongji Hospital, Goyang, Korea.
²Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. sekyukim@yumc.yonsei.ac.kr
³The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
⁴Brain Korea 21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, Korea.
⁵Cancer Metastasis Research Center, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Although exophytic endobronchial lesions can readily be diagnosed by routine forceps biopsy through the fiberoptic bronchoscope, submucosal or peribronchial tumor can be difficult to diagnose. So we evaluated the diagnostic utility of transbronchial needle aspiration (TBNA) through the fiberoptic bronchoscope in patients presenting with endoscopic abnormalities suggestive of submucosal or peribronchial tumor. PATIENTS AND METHODS: Retrospective review of 120 lung cancer patients who were found to have the lesions suggestive of peribronchial and submucosal tumor during fiberoptic bronchoscopy was performed from Jan. 1994 to Dec. 2002 at Severance Hospital, Yonsei University College of Medicine. METHODS: Forcep biopsy was positive in 63 cases (52.5%) and TBNA in 91 (75.8%), which was significantly better than forcep biopsy (p=0.001). The combination of forceps biopsy and TBNA was positive in 106 cases (88.3%), which was significantly better than forceps biopsy alone (p=0.0001). The difference of TBNA yield according to cell type or bronchoscopic appearance of lesion was not significant, but it showed the relatively better result in small cell carcinoma. CONCLUSIONS: We concluded that TBNA significantly increase the yield over forcep biopsy alone in the detection of submucosal or peribronchial bronchogenic carcinoma.

Key Words: Transbronchial needle aspiration, Lung cancer, Peribronchial, Submucosal

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