PT  - JOURNAL ARTICLE
AU  - Salvador de la Torre Carazo
AU  - Ricardo García-Luján
AU  - Rodrigo Alonso Moralejo
AU  - Antolina Gómez López
AU  - Beatriz Arias Arcos
AU  - Nuria Alberti
AU  - Eduardo de Miguel Poch
TI  - Initial experience in endobronchial and endoscopic ultrasound-guided fine needle aspiration in the same procedure
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - 3258
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/3258.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/3258.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - Introduction: Current papers show usefulness of a combined endobronchial and endoscopic ultrasound-guided fine needle aspiration (EBUS-FNA and EUS-FNA) of mediastinic adenopathies (1,2).Aim: To analize the initial results of EUS-FNA of mediastinic adenopathies in a tertiary hospitals bronchoscopic unit.Methods: Descriptive, prospective study of all the ecobronchoscopic procedures done May 2011-January 2012. EUS-FNA was performed when no endobronchial accessible adenopathies or its aspiration considered non representative by rapid onsite evaluation. Mediastinoscopy was performed when no diagnosis was yield with the endobronchoscope.Results: 54 patients underwent a bronchoscopic procedure in that period. In 9 cases EUS-FNA was performed (16,7%). Region 7 in 4 cases and 4L in 5 cases were sampled. In every case we started with an EBUS exploration: 5 of them were non representative with EBUS-FNA and in 4 cases no accessible adenopahies were found with EBUSEUS-FNA yield the following diagnosis: 3 non Hodgkin lymphomas, 2 lymphoid hyperplasia with anthracosis (with posterior mediastinoscopies in which no evidence of malignancy was proven), 1 epidermoid lung cancer, 1 colorectal carcinoma's metastasis, 1 sarcoidosis and 1 secondary amyloidosis. Every EUS-FNA was representative and no technique complications were described.Conclusion: Every case in which EUS-FNA was performed, was diagnostic, no false negatives were observed. This suggests that EUS-FNA done in the same procedure is beneficial in those procedures in which EBUS-FNA does not yield a conclusive diagnosis.1 Herth FJ et al. Chest. 2010;138:790-42Hwangbo B et al. Chest. 2010;138:795-802.