Endobronchial Mass
Conditions
Keywords
Patients with mediastinal lymphadenopathies.
Brief summary
Mediastinal lymph nodes enlargement with short axis diameter \>15 mm is conventionally defined as a mediastinal lymphadenopathy. The causes of mediastinal lymphadenopathy can be malignant or benign, (infectious, inflammatory, and other such as drug toxicity).
Interventions
Endobronchial Ultrasound (EBUS) : EBUS is usually performed under general anesthesia using a laryngeal masque. It has a linear ultrasonography with a 7.5 MHz frequency. The distal part of the endoscope contains a water filled balloon used as a liquid interface, camera, light source and a working channel. The needle is protected by a sheath to prevent working channel damage. The endoscope is connected to a processor that reflects both endobronchial and ultrasound images on a screen. EBUS - TBNA : EBUS - Transbronchial needle aspiration EBUS - TBCB: EBUS - Transbronchial Cryo Biopsy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient ≥ 18 years of age * Mediastinal and/or hilar lymphadenopathies \> 20 mm on an injected chest CT scan * Suspicion of lymphoproliferative disease, sarcoidosis or tuberculosis * Hypermetabolism of mediastinal and/or hilar lymphadenopathies on PET scan (SUV max \> 3) * No contraindication for general anesthesia * French-speaking Patient * -Signed informed consent
Exclusion criteria
* Patient not covered by the French social security system * Patient with legal protection * Pregnant or breastfeeding patient (if applicable) * Patient under guardianship or curatorship * Patient deprived of liberty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the feasibility of EBUS TBCB 1.1 mm probe. | 6 Months | Number of successes of the procedure. A success is defined by the ability to perform a biopsy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To estimate the sensitivity of EBUS TBCB probe 1.1 mm in the diagnosis of mediastinal lymphadenopathy. | 7 Months | anapathology analysis |
| To estimate the specificity of EBUS TBCB probe 1.1 mm in the diagnosis of mediastinal lymphadenopathy. | 7 Months | — |
| To estimate the procedure time. | Day 0 | The procedure time is defined by the time elapsed between introduction and removal of the EBUS probe |
| To assess the post-procedure complications rate. | 1 Month | — |