Lung Cancer
Conditions
Keywords
lung cancer, transbronchial biopsy, transbronchial catheter aspiration, transbronchial needle aspiration, peripheral pulmonary lesion, bronchoscopy
Brief summary
The aim of this study is prospectively to determine the diagnostic sensitivity of Transbronchial Catheter Aspiration (TBCA) in comparison with Transbronchial Needle Aspiration (TBNA) in the diagnosis of peripheral nodules and masses of the lung.
Detailed description
The yield of transbronchial forceps biopsy under fluoroscopy in the diagnosis of peripheral lesion of the lung lies between 32 and 57%. Several studies prove an amelioration of success rates by addition of cytological methods such as TBNA, TBCA and bronchial brushing. Furthermore, for TBNA and TBCA a significantly higher yield was reported in comparison with transbronchial forceps biopsy. TBNA and TBCA are routinely used methods, both techniques are safe, the instruments used are certificated.
Interventions
One arm, in random order first transbronchial catheter aspiration and second transbronchial needle aspiration or vice verse, both techniques routinely used in the diagnosis of peripheral pulmonary lesions; the cytological specimens of TBCA and TBNA are in random order examined by two independent cytologists, all cytological specimens are afterwards examined by a third, supervising cytologist.
Sponsors
Study design
Eligibility
Inclusion criteria
* informed consent prior to the procedure * radiologically peripheral pulmonary lesions between 10 and 60 millimeters in diameter
Exclusion criteria
* endoscopically visible lung carcinoma * no consent in further diagnostic procedures, when bronchoscopy fails to establish a diagnosis * haemorrhagic syndrome; grave cardiac disease; oxygen saturation lower than 90 percent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic sensitivity of transbronchial catheter aspiration in comparison with transbronchial needle aspiration. | one year |
Secondary
| Measure | Time frame |
|---|---|
| Yield by combination of the applied techniques | one year |
Countries
Germany