HIGH DIAGNOSTIC YIELD IN SAMPLING SUB-CENTIMETER PERIPHERAL PULMONARY NODULES WITH ROBOTIC-ASSISTED BRONSCHOSCOPY
نویسندگان
چکیده
TOPIC: Procedures TYPE: Original Investigations PURPOSE: Robotic-Assisted Bronchoscopy (RAB) is a novel technique that particularly valuable in the sampling peripheral pulmonary nodules. RAB has been reported to have lesion localization rate of 96.2% with diagnostic yield 74% patients 1 5 cm Thus far, no studies sub-centimeter METHODS: This retrospective observational study all cases completed at community hospital between August 2020 and March 2021. was executed using Monarch™ platform (Auris Health, Inc., Redwood City, CA) were performed by single operator. Only procedures for biopsy nodule <10 mm size included study. Transbronchial pathology microbiology, transbronchial brushings cytology, needle aspiration cytology during this The primary outcome yield. A secondary incidence procedure related complications. Baseline demographic information, characteristics, procedural outcomes recorded. RESULTS: total 30 underwent our 3 identified size. mean diameter 5.9 66% sampled nodules described as calcified. subset 100%. Diagnoses confirmed neuroendocrine tumor, cryptogenic organizing pneumonia, Mycobacterium avium complex. No complications reported. CONCLUSIONS: demonstrates high minimal sample hospital. can be safely used malignant benign CLINICAL IMPLICATIONS: widespread use high-resolution CT scans lung cancer screening led expedited increased detection Thus, exploring potential earlier crucial. As recent technologic advancements made more feasible, clinicians consider concerning malignancy. Earlier may lead accelerated diagnosis treatment, although these advantages must weighed against risk DISCLOSURES: relevant relationships Gustavo Avila, source=Web Response Jessica Baek, Renuka Reddy, Claudia Tejera Quesada, disclosure on file Adam Wellikoff
منابع مشابه
Diagnostic yield of fiberoptic bronchoscopy in evaluating solitary pulmonary nodules.
STUDY OBJECTIVES To evaluate factors affecting the diagnostic yield of flexible fiberoptic bronchoscopy in evaluating solitary pulmonary nodules (SPNs). DESIGN Retrospective analysis of bronchoscopies performed over a 4-year period. SETTING A tertiary teaching hospital. PATIENTS One hundred seventy-seven patients with pulmonary nodules without endobronchial lesions who underwent bronchosc...
متن کاملDiagnostic yield of stereotactic needle-biopsies of sub-cubic centimeter intracranial lesions
BACKGROUND Stereotactic brain biopsies are widely used for establishing the diagnosis of intracranial lesions. Here we examine whether stereotactic biopsy of smaller brain lesions, defined for this study as being less than 1 cubic centimeter (1 cc) in volume, are associated with lowered diagnostic yield. METHODS We conducted a retrospective analysis of 267 consecutive patients who underwent s...
متن کاملPulmonary nodules in a patient with rheumatoid arthritis: Which diagnostic approach is the most appropiate?
Background: Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA). Case Presentation: A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initi...
متن کاملThe Effects of Bronchoscope Diameter on the Diagnostic Yield of Transbronchial Lung Biopsy of Peripheral Pulmonary Nodules
BACKGROUND Transbronchial lung biopsy (TBLB) is a valuable diagnostic tool for peripheral pulmonary lesions. The diagnostic yield of TBLB reportedly ranges from 41%-60%. Many studies demonstrated the various factors that influence the yield of TBLB, including size, location, and distance from the carina or pleura. However, no study has evaluated the effects of the bronchoscope diameter. We eval...
متن کاملWegener's granulomatosis with multiple pulmonary nodules – diagnostic difficulties
The patient, a Caucasian woman, was referred for further assessment following a chest radiograph (Figure 1) suggestive of pulmonary metastases. She had a one-week history of increasing fatigue and cough productive of clear sputum.Not improving on a course of amoxicillin, she developed subjective fevers, and reduced appetite. She was an ex-smoker with a 1-pack/year history. She previously worked...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Chest
سال: 2021
ISSN: ['0012-3692', '1931-3543']
DOI: https://doi.org/10.1016/j.chest.2021.07.1802