Lung Cancer
Conditions
Keywords
staging, Endobronchial ultrasound, Endoscopic ultrasound
Brief summary
The purpose of this study is to find a role of EUS-B-FNA in the mediastinal staging of potentially operable lung cancer. The investigators perform EBUS-TBNA and EUS-B-FNA on potentially operable lung cancer patients. The investigators perform EBUS(+/- TBNA) and EUS-B (ultrasonographic examination through the esophagus) on all subjects. EUS-B-FNA will be performed on inaccessible nodes or difficult nodes to be sampled by EBUS-TBNA. Additional diagnostic values of EUS-B-FNA as compared to EBUS-TBNA alone will be estimated.
Interventions
EBUS-TBNA is a bronchoscopic diagnostic method that enables real time aspiration of paratracheal and peribronchial lesions. EUS-FNA is a procedure to obtain samples through the esophagus under real-time ultrasound guidance. In this study, EUS-FNA will be applied using a ultrasonic bronchoscope (EUS-B-FNA).
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed or strongly suspected potentially operable non-small cell lung cancer (NSCLC) * Potentially operable patients
Exclusion criteria
After staging work-up for NSCLC, including bronchoscopy,CT of the chest and upper abdomen, integrated PET/CT and brain MRI (and/or bone scan) * M1 disease * Inoperable T4 disease * Mediastinal infiltration or extranodal invasion of the mediastinal lymph node visible on chest CT. * Confirmed supraclavicular lymph node metastasis * Pancoast tumors * Medically inoperable patients * Contraindications for bronchoscopy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The diagnostic values of EBUS-TBNA plus EUS-B-FNA as compared to EBUS-TBNA alone | June 2009 |
Secondary
| Measure | Time frame |
|---|---|
| The Proportion and the location of lymph nodes accessible by EBUS-TBNA and EUS-B-FNA. | June 2009 |
Countries
South Korea