PT - JOURNAL ARTICLE AU - Bruno Escarguel AU - Georges Thomas AU - Cecile Tchouhdjian AU - Alexandre Chollat Namy AU - Cyril Foa AU - Jean Baptiste Paoli AU - Alain Poisson TI - Using forceps biopsy during endobronchial ultra sound is feasible in routine practise? DP - 2012 Sep 01 TA - European Respiratory Journal PG - P282 VI - 40 IP - Suppl 56 4099 - http://erj.ersjournals.com/content/40/Suppl_56/P282.short 4100 - http://erj.ersjournals.com/content/40/Suppl_56/P282.full SO - Eur Respir J2012 Sep 01; 40 AB - Introduction:EBUS is becoming a gold standard in exploring mediastinum abnormality. Especialy during a staging in lung cancer, big tissue become more necessary.Forceps biopsy have been used in biopsy of subcarinal masses with interesting results for lymphomas or sarcoidosis, without major complications. What happend in routine practise and using forceps for other mediastinal sites ?Material and methods:In the thoracic endoscopic unit of the hopital St Joseph (Marseille, France) during June 2011-decembrer 2011, we used a pediatric forceps biopsy after each puncture by EBUS TBNA. 13 patients were analysed, 16 mediastinal sites (7, 4R, 10R, 11R, 12R, 4L, 11L) were biopsied (3 histological specimens) after using a 21 or 22G needle. All the procedures were doing under general anesthesia using a laryngeal mask.Results:The average diameter of lymph nodes was 15,3 mm. In only two samples, the results were non significant. Concerning cancerous results (50%), the forceps biopsy did not increase diagnostic yield versus TBNA (Slides or cytolit). Biomarker analyses were possible for metastasis patients. In one case, sarcoidosis diagnosis was made only with forceps biopsy. There were no immediate complications.Conclusion:Using forceps biopsy during EBUS is feasible and safe. We can perform this procedure for the different sites of the mediastinum. The result doesn't show an increasing diagnostic value in lung cancer but could be interresting for lymphoma or non malignant disorders as sarcoidosis.