Lung Cancer
Conditions
Brief summary
The study is aimed at verifying if a pulmonologist can reliably assess the tumor burden for the extractive molecular analysis in ROSE samples obtained with endoscopic sampling procedures from intrathoracic lymphadenopathy and pulmonary nodules.
Interventions
Specimens obtained with endoscopic sampling procedures are stained with a rapid method (i.e., Diff Qui) and submitted to on-site cytologic review
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * Indication for endoscopic sampling of suspected malignant lymphadenopathy or pulmonary lesion * Written informed consent
Exclusion criteria
* High risk conditions for the performance of bronchoscopy and/or EBUS-TBNA * High risk condition for deep sedation (ASA 4) * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy with which a pulmonologist can assess the tumor burden on ROSE slides | The time frame is the duration of each bronchoscopy with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for each patient enrolled | The outcome 1 will be measured by verifying the agreement between the pulmonologist judgment and the molecular pathologist judgment, the latter being the gold standard |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Interobserver agreement between pulmonologist, pathologist and molecular pathologist in then assessment of the tumor burden on ROSE slides | The time frame is the duration of each bronchoscopy with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for each patient enrolled | The outcome 2 will be measured by verifying the agreement between the 3 professionals, using the judgment of the molecular pathologist as gold standard |
| Accuracy with which a pulmonologist can identify malignancy on ROSE samples | The time frame is the duration of each bronchoscopy endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for each patient enrolled | The outcome 3 will be measured by verifying the agreement between pulmonologist and pathologist, the latter being the gold standard |
Countries
Italy