A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph.

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A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph node staging of lung cancer Kazuhiro Yasufuku, MD, PhD, Andrew Pierre, MD, MSc, Gail Darling, MD, Marc de Perrot, MD, MSc, Thomas Waddell, MD, PhD, Michael Johnston, MD, Gilda da Cunha Santos, MD, PhD, William Geddie, MD, Scott Boerner, MD, Lisa W. Le, MSc, Shaf Keshavjee, MD, MSc The Journal of Thoracic and Cardiovascular Surgery Volume 142, Issue 6, Pages 1393-1400.e1 (December 2011) DOI: 10.1016/j.jtcvs.2011.08.037 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow chart showing enrollment, allocation, and analysis of 190 patients who were registered in the study, of whom 153 were eligible for analysis. Thirty-one patients did not enter the study after registration because of advanced disease (16), decrease in size of lymph node (5), and patient withdrawal (10). Six patients were excluded after the procedure because of advanced disease. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 1393-1400.e1DOI: (10.1016/j.jtcvs.2011.08.037) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

A, CT scan demonstrates enlargement of lymph node 4L in 68-year-old patient with lung cancer of the left lower lobe. B, EBUS images with the Doppler mode show 4L (LN) between the aorta and the pulmonary artery. Cytologic and pathologic results demonstrate adenocarcinoma (C, D). AO, Aorta; PA, pulmonary artery; LN, lymph node. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 1393-1400.e1DOI: (10.1016/j.jtcvs.2011.08.037) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions