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Choose WiselyEBUS-TBNA and cTBNA in Sarcoidosis: Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Sarcoidosis

Atul C. Mehta, MBBS, FCCP; Francisco A. Almeida, MD, FCCP
Author and Funding Information

From the Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic.

CORRESPONDENCE TO: Atul C. Mehta, MBBS, FCCP, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, A-90, Cleveland, OH 44195; e-mail: mehtaa1@ccf.org


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;146(3):530-532. doi:10.1378/chest.14-0374
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Confirming the diagnosis of sarcoidosis presents a plethora of options to the pulmonologist, ranging from a close follow-up to an open lung biopsy. Flexible bronchoscopy and conventional transbronchial needle aspiration (cTBNA) have empowered bronchoscopists in the confirmation of sarcoidosis since their introduction in the late 1960s and 1980s, respectively.2 The last decade has witnessed the addition of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and esophageal ultrasound (EUS) to the bronchoscopist’s armamentarium for confirming sarcoidosis.3 In fact, some investigators now consider EBUS-TBNA and EUS-guided TBNA as the “only game in town” for the confirmation of sarcoidosis.3-5 We, however, believe that although EBUS-TBNA and EUS-guided TBNA have an undisputed role in staging non-small cell lung carcinoma, its usefulness as an exclusive test for sarcoidosis warrants careful consideration.

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