Spectrum of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) in the Diagnosis of Mediastinal Lymphadenopathy: An Experience at Tertiary Care Center

Abstract

Introduction: Endobronchial Ultrasound-guided Transbronchial
Needle Aspiration (EBUS TBNA) is a new minimally invasive
technique presently used for evaluating mediastinal lesions. It
has also proved to be valuable for the lymphnode (LN) staging
of lung cancer,as well as for the primary diagnosis of unclear
mediastinal lesions
Material and Methods: EBUS-FNAs from mediastinal lymph
nodes were retrospectively reviewed from January 2020 to
January 2022 and their findings were correlated with the
histology.
Results: A total of 60 cases were obtained. Out of which, 3
cases were non diagnostic, and 57 cases were diagnostic.
Three cases were reactive hyperplasia, seventeen were
granulomatous lymphadenitis and thirty-seven cases were
positive for malignant cells. Out of the thirty-seven positive
cases for malignant cells, a biopsy was received in 29 of them
and 27 cases showed positive histological correlation.
Conclusion: EBUS-FNA is a rapid, safe, and effective method
that can be used routinely to diagnose mediastinal lesions.