Self-learning experience in transbronchial needle aspiration in diagnosis of intrathoracic lymphadenopathy.

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dc.contributor.authorBoonsarngsuk, Viboonen_US
dc.contributor.authorPongtippan, Atcharapornen_US
dc.date.accessioned2009-05-27T20:51:48Z
dc.date.available2009-05-27T20:51:48Z
dc.date.issued2009-02-04en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Lack of a training program and experience result in underutilized transbronchial needle aspiration (TBNA). Pulmonologists who are not graduated from Europe or the United States might have little chance to learn and gain experience in this procedure. OBJECTIVE: To determine the authors' diagnostic yield from self-learning TBNA in diagnosis of intrathoracic lymphadenopathy. MATERIAL AND METHOD: After reviewing a videotape recorded TBNA procedure repetitively and receiving training in tracheobronchial lung model, the authors performed TBNA according to standard techniques using 21-guage cytology needles connected to a flexible bronchoscope in diagnosis of intrathoracic lymphadenopathy and performed data collection on all TBNA procedures at Ramathibodi Hospital, a tertiary university hospital in Bangkok, Thailand between January 1, 2006 and December 31, 2007. RESULTS: Thirty-eight consecutive patients were examined Twenty-seven nodes (71.1%) were malignancies and II nodes (28.9%) were benign diseases. During the first 6-month, the authors' diagnostic yield and frequency of adequate specimens were low. With some modification of the TBNA technique and learning experience, the frequency of inadequate specimens significant decreased from 36.4% to 0% (p = 0.03). Although the diagnostic yield increased from 45.5% to 84.6%, it did not reach statistical significance (p = 0.09). No complication, in either the patients or the bronchoscopes, was found. CONCLUSION: TBNA is a safe procedure that can be self-mastered by pulmonologists with interest, intent, and who exert themselves. TBNA performance will be improved over time with practice.en_US
dc.description.affiliationDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. bss-vb@hotmail.comen_US
dc.identifier.citationBoonsarngsuk V, Pongtippan A. Self-learning experience in transbronchial needle aspiration in diagnosis of intrathoracic lymphadenopathy. Journal of the Medical Association of Thailand. 2009 Feb; 92(2): 175-81en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43771
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAudiovisual Aidsen_US
dc.subject.meshBiopsy, Needle --methodsen_US
dc.subject.meshBronchoscopyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLymph Nodes --pathologyen_US
dc.subject.meshLymphatic Diseases --diagnosisen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshModels, Anatomicen_US
dc.subject.meshPulmonary Medicine --educationen_US
dc.subject.meshThoraxen_US
dc.subject.meshVideotape Recordingen_US
dc.subject.meshYoung Adulten_US
dc.titleSelf-learning experience in transbronchial needle aspiration in diagnosis of intrathoracic lymphadenopathy.en_US
dc.typeJournal Articleen_US
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