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CC BY 4.0 · Journal of Digestive Endoscopy 2025; 16(01): 002-007
DOI: 10.1055/s-0045-1805031
Research Article

Diagnostic Yield of Endoscopic Ultrasound-Guided Fine Needle Aspiration in Lung Lesions

Avinash Bhat Balekuduru
1   Department of Gastroenterology, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India
,
Yeluri Koushik
1   Department of Gastroenterology, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India
,
Kolangara Veetil Santhosh
2   Department of Pathology, Metropolis Healthcare Limited, Bangalore, Karnataka, India
,
Manoj Kumar Sahu 
3   Department of Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneshwar, Orissa, India
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Funding None declared.
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Abstract

Background Tissue sampling from lung lesions is done by bronchoscopy, trans-thoracic needle aspiration lung biopsy, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), endobronchial ultrasound-guided FNA (EBUS-FNA), thoracenteses, or by surgery.

Aim The aim of the present study was to evaluate the feasibility and safety of EUS-FNA of lung parenchymal lesions in nondiagnostic bronchoscopy or EBUS-FNA.

Methods All consecutive patients who underwent EUS-FNA from solid central lung parenchymal lesions or lung with adrenal lesions after a failed EBUS or bronchoscopic biopsy with available histology were included. The indication for the procedure and clinical outcome measures like adverse events were recorded on uniform structured data forms.

Results Of 62 mediastinal EUS-FNA procedures performed during the study, 13 EUS-FNA procedures were performed from central lung lesions with <2 cm from the esophageal wall and prior failed diagnostic bronchoscopy or EBUS-FNA. There were no adverse events in the study. Histologic confirmation was obtained in all the cases.

Conclusions EUS-guided FNA of central lung lesions <2 cm from the esophageal wall is technically feasible without any adverse events in failed EBUS-FNA or bronchoscopy cases.

Keywords

bronchoscopy - EBUS - EUS - FNA - lung

Declaration

The authors declare that no financial grant was received for the study. No conflicts of interest.




Publikationsverlauf

Artikel online veröffentlicht:
17. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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