Lungcancer and mediastinal staging
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - (suspected) NSCLC/SCLC - Indication for mediastinal/hilar nodal or lung tumor tissue sampling - Suspected mediastinal/hilar lymph nodes or lung tumor within reach of EBUS/ EUS-B - 18 years or older - Provision of a written consent
Exclusion criteria
Exclusion criteria: - Mediastinal re-staging after neo-adjuvant treatment - Contra-indication for EBUS or EUS/B - Not correctable coagulation disorder - Pregnancy - Inability to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.The suitability rate for the assessment of PD-L1 expression with the EBUS / EUS-B 22 G TBNB novel Boston Acquire?? needle vs 22 G TBNA Boston Scientific BSC standard needle on mediastinal/hilar nodal or tumor aspirates in patients with a final diagnosis of lung cancer. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Cumulative length tissue core - Suitability for molecular analysis/next-generation sequencing in patients with a final diagnosis of lung cancer - Sample adequacy (defined as the presence of lymphocytes or atypical cells or other pathognomic characteristics (e.g. granulomas)) - Sample quality using the Mair’s objective scoring system - Sample bloodiness - Diagnostic sensitivity for mediastinal/hilar nodal staging (defined as the proportion of patients that have N2/N3 disease diagnosed by EBUS/EUS-B, relative to the total number of patients with a final diagnosis of N2/N3 disease as determined by the reference standard) - Diagnostic sensitivity for malignancy (defined as the proportion of patients that have malignancy diagnosed by EBUS/EUS-B, relative to the total number of patients with a final diagnosis of malignancy as determined by the reference standard) - Yield for diagnosing malignancy in the subgroup of patients with a centrally located lung tumor (defined as the proportion of patients that have malignancy diagnosed by EBUS/EUS-B, relative to the total number of patients with a final diagnosis of malignancy) - Complication rate - Procedure duration - Endoscopists satisfaction of needle use | — |
Contacts
Amsterdam UMC, loc AMC