Lymphoma
Conditions
Keywords
ebus, endobronchial ultrasound-guided, EBUS-MFB, intra-nodal miniforceps biopsy, EBUS-transbronchial forceps biopsy
Brief summary
The present study aimed to assess the diagnostic performance of ultrasound-guided endobronchial intra-nodal miniforceps biopsy (EBUS-MFB) in the diagnosis of de novo mediastinal lymphoma.
Detailed description
Every patients will be sampled using both EBUS-MFB and the standard of care EBUS-TBNA (transbronchial needle aspiration). It is a monocentric investigation. Pathologist will not know the way of sampling while analysing the samples
Interventions
Mediastinal node is sampled using three path of classic ultrasound guided transbronchial needle aspiration (EBUS-TBNA). A reduce size forceps is then inserted inside the mediastinal node via the duc EBUS-TBNA made and biopsies (EBUS-MFB) are made using real time ultrasound guidance.
Sponsors
Study design
Masking description
pathologist do not know the technique of sampling used when analysing slides.
Eligibility
Inclusion criteria
* Pathological mediastinal nodes within reach of EBUS sampling on CT-scan. * Lymphoma suspicion by a senior clinical hematologist * Affiliated to the french public health care insurance
Exclusion criteria
* Peripherical pathological lymph nodes reachable without general anesthesia * Antithrombotic medication that cannot be stopped le time of the procedure. * Unstable respiratory status * History of lymphoma * Latex or xylocaine allergia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| positivity of the procedure in Diagnosis and Subtyping of lymphoma | up to 3 years | a sample wil be considered positive if it allows the clinical management of the patient, without additional sampling required. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| every adverse effect related to the procedure | up to 3 years | infectious process related to the procedure, hemoptysis over 50cc, worsening of respiratory status requiring hospitalization |
Countries
France