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Phase II study of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and transesophageal bronchoscopic ultrasound-guided fine needle aspiration (TEBUS-FNA) using an EBUS bronchoscope in the mediastinal staging of non-small cell lung cancer

Phase 2
Conditions
ung cancer
Registration Number
JPRN-UMIN000002882
Lead Sponsor
agoya Medical Center
Brief Summary

EBUS-TBNA was performed for 257 lymph nodes, and EUS-FNA for 176 lymph nodes. A total of 146 patients had a final diagnosis of non-small cell lung cancer. Thirty-three of them (23%) had N2 and/or N3 node metastases. The sensitivity of EBUS-TBNA, EUS-FNA and the combined approach per patient was 52%, 45% and 73%, respectively (EBUS-TBNA vs combined approach: p = 0.016 using McNemar test). The negative predictive value was 88%, 86% and 93%, respectively. Two cases (1%) of severe cough resulted from EBUS-TBNA.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
140
Inclusion Criteria

Not provided

Exclusion Criteria

1. Patients with recurrent lung cancer 2. Bleeding tendency 3. Pregnant woman 4. Other clinical difficulties in this study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Accuracy of EBUS-TBNA and/or TEBUS-FNA
Secondary Outcome Measures
NameTimeMethod
1. Accuracy of non-invasive modalities (PET, CT) 2. Time of procedure 3. Frequency of adverse effects
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