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ORIGINAL ARTICLE Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Lymph Node Staging in Patients with Non-small Cell Lung Cancer in Nonoperable Patients Pursuing Radiotherapy as a Primary Treatment Takahiro Nakajima, MD, PhD,* Kazuhiro Yasufuku, MD, PhD,† Mio Nakajima, MD, PhD,‡ Masayuki Baba, MD, PhD,‡ Kyosan Yoshikawa, MD, PhD,‡ Tadashi Kamada, MD, PhD,‡ Kenzo Hiroshima, MD, PhD,§ Yukio Nakatani, MD, PhD,§ Takehiko Fujisawa, MD, PhD,* and Ichiro Yoshino, MD, PhD* diagnostic accuracy of EBUS-TBNA for lymph node staging was Introduction: Carbon ion radiotherapy (CIRT) is a promising 93.9%. modality with excellent localization and significant biologic effects Conclusions: EBUS-TBNA offers accurate minimally invasive on tumors. Nevertheless, success depends primarily on accurate lymph node staging in patients who are candidates for CIRT. staging before radiotherapy. Surgical interventions should be EBUS-TBNA can be safely performed with a high diagnostic avoided in patients considered for CIRT because they usually have accuracy before CIRT. multiple comorbidities. The aim of this study was to evaluate the Key Words: Endobronchial ultrasound-guided transbronchial nee- effectiveness of endobronchial ultrasound-guided transbronchial dle aspiration, Lymph node staging, Carbon ion radiotherapy. needle aspiration (EBUS-TBNA) for lymph node staging in patients with non-small cell lung cancer before CIRT. (J Thorac Oncol. 2010;5: 606–611) Methods:
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: May 1, 2010
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