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Point/Counterpoint Editorials |

Point: Should Endobronchial Ultrasound Guide Every Transbronchial Needle Aspiration of Lymph Nodes? YesEBUS for TBNA? Yes

Momen M. Wahidi, MD, MBA, FCCP; Kazuhiro Yasufuku, MD, PhD, FCCP
Author and Funding Information

From the Department of Medicine (Dr Wahidi), Division of Pulmonary, Allergy and Critical Care Medicine, Duke University Medical Center; and Department of Surgery (Dr Yasufuku), Division of Thoracic Surgery, University of Toronto.

Correspondence to: Momen M. Wahidi, MD, MBA, FCCP, Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, Duke University Medical Center, Box 3683, Durham, NC 27710; e-mail: momen.wahidi@duke.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Wahidi has consulted for and received educational grants from Olympus Corporation and Pentax Ricoh Imaging Co, Ltd. Dr Yasufuku has consulted for and received educational grants from Olympus Corporation.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(3):732-734. doi:10.1378/chest.13-0702
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Extract

Transbronchial needle aspiration (TBNA) was introduced in the 1970s and enabled the bronchoscopist for the first time to reach beyond the confines of the airways into the surrounding tissue. It was a monumental leap in the ability to diagnose diseases such as lung cancer and sarcoidosis and, more importantly, to stage lung cancer. Despite the demonstrated safety and efficacy of TBNA, wide adoption by chest physicians was slow and fraught with technical difficulty and low yield.

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