0
Point/Counterpoint Editorials |

Counterpoint: Should Ultrasonographic Endoscopy Be the Preferred Modality for Staging of Lung Cancer? NoEBUS for Staging Lung Cancer? No

Farhood Farjah, MD, MPH; Douglas E. Wood, MD, FCCP
Author and Funding Information

From the Department of Surgery/Division of Cardiothoracic Surgery, University of Washington.

Correspondence to: Farhood Farjah, MD, MPH, Department of Surgery/Division of Cardiothoracic Surgery, University of Washington, Box 356310, 1959 NE Pacific, AA-115, Seattle, WA 98195-6310; e-mail: ffarjah@uw.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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


Chest. 2014;145(3):449-451. doi:10.1378/chest.13-2724
Text Size: A A A
Published online

Extract

Mediastinal staging directs optimal lung cancer therapy and provides the patient with an important initial prognosis. Performed for > 50 years, mediastinoscopy is effective, safe, and efficient. Technologic advances have yielded additional procedures for mediastinal staging, including endobronchial ultrasound (EBUS)- and esophageal ultrasound (EUS)-guided nodal aspiration. Although effective in confirming malignancy in an enlarged lymph node or a lymph node that was positive on PET imaging, these procedures do not reliably and systematically sample all mediastinal nodes or acquire sufficient tissue for molecular analyses. New technology may appropriately be adopted when it is at least as effective as a standard and offers advantages in terms of safety, efficiency, access, and costs. This premise has not been established for EBUS and EUS. Accordingly, the assertion that endosonography should be the preferred modality for invasive mediastinal staging is unsubstantiated.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543