Diagnostic Utility of Trans-Bronchial Needle Aspiration for Mediastinal Lymphadenopathy- Our Experience
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 7
Abstract
Transbronchial needle aspiration through flexible bronchoscopy is a simple, safe and cost effective procedure for the diagnosis of various mediastinal lesions, can be performed on out-patient basis in selected patients without hospital stay and without complications. We evaluated the diagnostic yield of transbronchial needle aspiration in various mediastinal lesions without lung parenchymal involvement in our setting. All patients suffering with fever cough, having mediastinal lymphadenopathies on chest radiograph and contrast chest CT scans were included. TBNA was performed through flexible bronchoscope to obtain samples from mediastinal lymphadenopathies. As we have excluded endobronchial mass lesions the bronchoscpic findings were classified as carina and Sub carinal widening, altered mucosa and extrinsic compression. In results a total 30 patients with mediastinal lymphadenopathies were studied. The Diagnostic Yield was 60% (18/30). Definite diagnosis with cytology was reached in 18 patients, 17 (56.6 %) patients had inflammation and 1 (3.3%) malignancy. None of our patient has experienced any significant complications. In the present study, we conclude that adequate cytological material was obtained successfully in 86.6% patients and the diagnostic yield was 60 %. In the hands of experienced bronchoscopist and with a good laboratory backup the diagnostic yield can be further improved. Keywords: Transbronchial needle aspiration, Bronchoscopy, Cytology.
Authors and Affiliations
Varikuti Aparna, BeenaboinaVenkata Ramana Murthy, Methuku Narender, S. Laxmi kumari, Auzumeedi Sai Kumar, P. Navaneeth Sagar Reddy
Keywords
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