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Endobronchial ultrasound: new insight for the diagnosis of sarcoidosis

M. Wong, K. Yasufuku, T. Nakajima, F. J. F. Herth, Y. Sekine, K. Shibuya, T. Iizasa, K. Hiroshima, W. K. Lam, T. Fujisawa
European Respiratory Journal 2007 29: 1182-1186; DOI: 10.1183/09031936.00028706
M. Wong
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K. Yasufuku
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T. Nakajima
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F. J. F. Herth
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Y. Sekine
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K. Shibuya
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T. Iizasa
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K. Hiroshima
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W. K. Lam
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T. Fujisawa
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  • Fig. 1—
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    Fig. 1—

    a) Computed tomography of the chest showing right lower paratracheal and subaortic lymph node enlargement. b) Endobronchial ultrasonography (EBUS) of the right lower paratracheal lymph node sitting on top of the superior vena cava, confirmed by the colour Doppler signal. c) Convex-probe EBUS-guided transbronchial needle aspiration of the same area, showing the needle within the lymph node. d) Histological specimen, demonstrating a noncaseating granuloma without necrosis, as seen in sarcoidosis.

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    Fig. 2—

    Patients suspected of having sarcoidosis were subjected to a diagnostic algorithm. Patients denoted indefinite were followed up but did not receive a specific final diagnosis. EBUS-TBNA: Real-time endobronchial ultrasound-guided transbronchial needle aspiration; VATS: video-assisted thoracoscopic surgery.

Tables

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  • Table 1—

    Characteristics of lymph nodes sampled by endobronchial ultrasound-guided transbronchial needle aspiration

    StationSamplesSize mm
    2R1120.5 (11–34)
    2L716.1 (11–21)
    4R1615.8 (7–26)
    4L420.3 (17–26)
    72922.4 (16–34)
    10R229.0 (19–37)
    10L319.7 (16–23)
    11R413.0 (9–18)
    11L119.0 (19–19)
    Mediastinal67
    Hilar or lobar10
    Total7720.5 (7–37)
    • Data are presented as n or mean (range). R: right; L: left.

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Endobronchial ultrasound: new insight for the diagnosis of sarcoidosis
M. Wong, K. Yasufuku, T. Nakajima, F. J. F. Herth, Y. Sekine, K. Shibuya, T. Iizasa, K. Hiroshima, W. K. Lam, T. Fujisawa
European Respiratory Journal Jun 2007, 29 (6) 1182-1186; DOI: 10.1183/09031936.00028706

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Endobronchial ultrasound: new insight for the diagnosis of sarcoidosis
M. Wong, K. Yasufuku, T. Nakajima, F. J. F. Herth, Y. Sekine, K. Shibuya, T. Iizasa, K. Hiroshima, W. K. Lam, T. Fujisawa
European Respiratory Journal Jun 2007, 29 (6) 1182-1186; DOI: 10.1183/09031936.00028706
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