Recommendations for the routine performance of TBNA

All patients presenting with mediastinal or hilar adenopathy or both should have TBNA performed as the initial procedure. These results should provide a diagnosis of both malignant and nonmalignant diseases, as well as help in the staging of lung cancers.

In patients with visible endobronchial disease, TBNA should be performed in case of a necrotic or a hemorragic tumor, or in a patient with a bleeding diathesis.

All patients with evidence of submucosal and peribronchial disease should have cytology sampling.

TBNA should be the initial diagnostic procedure in all patients with peripheral lesions which extrinsically compress the bronchus but do not invade the lumen.

Adapted with permission from Dasgupta A, Mehta AC, Clin Chest Med 1999; 20:39 and Minai, OA, Dasgupta, A, Mehta, AC. Transbronchial needle aspiration of central and peripheral lesions. In: Bolliger, CT, Mathur, PN (Eds), Progress in Respiratory Research-Interventional Bronchoscopy. Karger, Basel, Switzerland, 1999.

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Recommendations for the routine performance of TBNA