Non small cell lung cancer ultrasound: Difference between revisions
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:*Real time evaluation of structures | :*Real time evaluation of structures | ||
:*Sensitivity 90% and specificity of 97% | :*Sensitivity 90% and specificity of 97% | ||
*On ultrasound (endobronchial ultrasound), characteristic findings of non-small cell lung cancer, include: <ref name="lung cancer">Lung cancer staging. Wikipedia. https://en.wikipedia.org/wiki/Lung_cancer_staging Accessed on February 25,2016</ref> | |||
On ultrasound (endobronchial ultrasound), characteristic findings of non-small cell lung cancer, include: <ref name="lung cancer">Lung cancer staging. Wikipedia. https://en.wikipedia.org/wiki/Lung_cancer_staging Accessed on February 25,2016</ref> | |||
:*Enlarged lymph nodes | :*Enlarged lymph nodes | ||
:*Local invasion to adjacent bronchial structures and mediastinum | :*Local invasion to adjacent bronchial structures and mediastinum | ||
{| style="border:1px solid black; border-collapse:collapse" border="1" cellpadding="5" | |||
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Procedure}} | |||
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Advantages}} | |||
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Disadvantages}} | |||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Endobronchial ultrasound (EBUS) | |||
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*Direct visualization of lymph node stations. | |||
*Complements endoscopic ultrasound: covers lymph node stations 2R and 4R which are difficult to access by endoscopic ultrasound | |||
*Lower false-negative rate than with blind transbronchial fine needle aspiration and fewer complications | |||
|style="padding: 5px 5px; background: #F5F5F5;"| | |||
*More invasive than endoscopic ultrasound, few practitioners, but rapidly growing in popularity | |||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| [[Endoscopic ultrasound]] (EUS) | |||
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*Least invasive modality | |||
*Uses the esophagus to access mediastinal lymph nodes | |||
*Excellent for staging lymph nodes | |||
*Useful for station 2L and 4L, L adrenal, celiac lymph node | |||
|style="padding: 5px 5px; background: #F5F5F5;"| | |||
*Cannot reliably access right sided paratracheal lymph node stations 2 R and 4R | |||
*Accurate discrimination of primary hilar tumors and involved lymph nodes is important | |||
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==Gallery== | ==Gallery== | ||
Revision as of 15:01, 25 February 2016
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Non Small Cell Lung Cancer Microchapters |
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Differentiating Non Small Cell Lung Cancer from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Non small cell lung cancer ultrasound On the Web |
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American Roentgen Ray Society Images of Non small cell lung cancer ultrasound |
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Directions to Hospitals Treating Non small cell carcinoma of the lung |
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Risk calculators and risk factors for Non small cell lung cancer ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
On endobronchial and endoscopic ultrasound, characteristic findings of non-small cell lung cancer, include: enlarged lymph nodes and local invasion to adjacent bronchial structures and mediastinum. Endobronchial ultrasound is a first-line diagnostic modality for mediastinal staging.[1]
Ultrasound
- Endobronchial ultrasound is a first-line diagnostic modality for mediastinal staging.[1]
- Common features of endobronchial ultrasound, include: [2]
- Evaluation of lymph nodes and other structures in the mediastinum
- Mediastinum invasion staging
- Determination of management strategy
- Real time evaluation of structures
- Sensitivity 90% and specificity of 97%
- On ultrasound (endobronchial ultrasound), characteristic findings of non-small cell lung cancer, include: [3]
- Enlarged lymph nodes
- Local invasion to adjacent bronchial structures and mediastinum
| Procedure | Advantages | Disadvantages |
|---|---|---|
| Endobronchial ultrasound (EBUS) |
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| Endoscopic ultrasound (EUS) |
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Gallery
References
- ↑ 1.0 1.1 Kinsey CM, Arenberg DA (2014). "Endobronchial ultrasound-guided transbronchial needle aspiration for non-small cell lung cancer staging". Am. J. Respir. Crit. Care Med. 189 (6): 640–9. doi:10.1164/rccm.201311-2007CI. PMID 24484269.
- ↑ Tests for non-small cell lung cancer. American Cancer Society. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-diagnosis Accessed on February 25, 2016
- ↑ Lung cancer staging. Wikipedia. https://en.wikipedia.org/wiki/Lung_cancer_staging Accessed on February 25,2016