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29.05.2018 | INTERVENTIONAL BRONCHOSCOPY

EBUS-TBNA is Sufficient for Successful Diagnosis of Silicosis with Mediastinal Lymphadenopathy

verfasst von: David Shitrit, Yochai Adir, Avital Avriel, Daniel King, Gali Epstein Shochet, Alexander Guber, Sonia Schnaer, Michael Kassirer, Paul D. Blanc, Amir Abramovich

Erschienen in: Lung | Ausgabe 4/2018

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Abstract

Background

Silicosis is an occupational lung disease resulting from inhalation of respirable crystalline silica. Recently, an international silicosis epidemic has been noted among artificial stone workers.

Objective

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is currently used for patients with unexplained lymphadenopathy. Since silicosis may present with prominent lymphadenopathy, the diagnostic yield of EBUS-TBNA in diagnosing silicosis was evaluated.

Methods

Twenty-eight patients with suspected silicosis referred for outpatient evaluation in three large tertiary hospitals were evaluated. Patients with mediastinal lymphadenopathy underwent EBUS-TBNA, while others underwent TBB and/or video-assisted thoracoscopic surgery (VATS).

Results

Eleven patients with mediastinal lymphadenopathy (39%) were evaluated using EBUS-TBNA. The diagnosis was accurate in all cases, demonstrating silica particles under polarized light, with no complications. Among the remaining patients, TBB was only 76% diagnostic, therefore requiring VATS.

Conclusions

EBUS-TBNA is a useful and sufficient tool to diagnose silicosis in patients with mediastinal lymphadenopathy along compatible exposure histories.

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Titel: EBUS-TBNA is Sufficient for Successful Diagnosis of Silicosis with Mediastinal Lymphadenopathy
verfasst von: David Shitrit
Yochai Adir
Avital Avriel
Daniel King
Gali Epstein Shochet
Alexander Guber
Sonia Schnaer
Michael Kassirer
Paul D. Blanc
Amir Abramovich
Publikationsdatum: 29.05.2018
Verlag: Springer US
Erschienen in: Lung / Ausgabe 4/2018
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI: https://doi.org/10.1007/s00408-018-0129-3

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EBUS-TBNA is Sufficient for Successful Diagnosis of Silicosis with Mediastinal Lymphadenopathy

Abstract

Background

Objective

Methods

Results

Conclusions

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Abstract

Background

Objective

Methods

Results

Conclusions

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