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Editorial |

Could Cryo-Biopsies Lead Bronchoscopy Into the Ice Age?

Nicholas J. Pastis, MD, FCCP; Gerard A. Silvestri, MD, FCCP
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST the following: N. J. P. has received honoraria from Olympus for teaching linear and radial endobronchial ultrasound-guided bronchoscopy courses; he also served as a consultant to Cook medical for developing teaching tools for bronchoscopy. None declared (G. A. S.).

Thoracic Oncology Research Group, Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC

CORRESPONDENCE TO: Nicholas J. Pastis, MD, FCCP, Thoracic Oncology Research Group, Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, 17 Ashley Ave, Room 812-CSB, Charleston, SC 29425-2220


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(2):270-272. doi:10.1016/j.chest.2016.04.008
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Extract

For nearly 40 years following the release of the flexible bronchoscope, only a few procedures (BAL, transbronchial lung biopsies, and transbronchial needle aspiration) were available to diagnose pulmonary diseases. Since then, the most impactful advance in bronchoscopy has been the introduction of endobronchial ultrasound, which revolutionized the bronchoscopic approach to assessing mediastinal adenopathy. In patients with known or suspected lung cancer, the diagnostic yield approaches 90%, and the procedure is useful in diagnosing sarcoidosis and lymphoma., Could cryobiopsies be the next game changer by expanding the capability of transbronchial lung biopsies by providing tissue samples that rival surgical lung biopsies?

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