RESULTS: We identified a total of 56 EBUS cases with a total of 60 individual specimens which were sent for intraoperative consultation. Of these, 43 specimens were analyzed by frozen section and 17 specimens were analyzed by touch prep only. The kappa coefficient was 0.854 indicating an almost perfect correlation between intraoperative diagnosis and final diagnosis.The sensitivity and specificity of intraoperative consultation for diagnosing lung cancer was 85%% and 100%, respectively. Using intraoperative consultation, a total of 22 specimens contained cancerous cells: 17 non-small cell cancers and 5 small cell cancers. Other diagnoses included granuloma (2), atypical cells (5), lymphoma (1), melanoma (1), seminoma (1) and benign lymphoid tissue (14).