第一个亚太地区的经验是通过法兰西针进行支气管穿越核心活检
Michael V Brown1,2, Katherine Lavrencic1,2, Arash Badiei1,2
1Department of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, Australia.
Journal of thoracic disease
|July 10, 2023
概括
弗朗西恩AcquireTM针提供足够的组织,通过内支骨超声导向的跨支骨针活检 (EBUS-TBNB) 诊断中支骨和支骨病变. 这种方法为肺癌患者的关键辅助研究提供了足够的样本.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 干预性肺病学 干预性肺病学
背景情况:
- 经 bronchial针吸收 (EBUS-TBNA) 是介质/鼻腔病变的标准.
- EBUS-TBNA为免疫组织化学和辅助研究提供了有限的材料.
- 法国获得TM针为EBUS-transbronchial针活检 (TBNB) 提供更大的核心活检.
研究的目的:
- 评估使用Franseen AcquireTM针的EBUS-TBNB的第一个亚太地区的经验.
- 评估样本是否适合用于诊断和辅助研究.
- 为了比较AcquireTM针与VizishotTM针的性能.
主要方法:
- 关于EBUS-TBNB程序的回顾性队列研究 (2019年12月 - 2021年5月).
- 诊断率的评估,辅助研究的样本充分性,并发症.
- 为组织学处理的样本;用于流细胞计的疑似淋巴瘤样本.
主要成果:
- 在189名患者中,AcquireTM针实现了92.1%的诊断率,在>90%的病例中,有足够的组织用于辅助研究.
- 在91.8%的NSCLC和91.4%的腺癌病例中的辅助研究中,足够的组织用于PD-L1测试.
- 在VizishotTM针的诊断率较低 (85.1%) 和显著较少报告的核心组织 (24.8%).
结论:
- 获取TM EBUS-TBNB显示了与历史数据相比的诊断率.
- >90%的病例为辅助研究提供了足够的核心材料.
- 获取TM针对于淋巴腺病的治疗非常有价值,尤其是在肺癌诊断和治疗规划方面.
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