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Minerva Pneumologica 2006 March;45(1):39-51
Copyright © 2006 EDIZIONI MINERVA MEDICA
language: English
Diagnostic bronchoscopic approach to mediastinal diseases
Trisolini R. 1, Paioli D. 1, Cancellieri A. 2, Patelli M. 1
1 Unit of Thoracic Endoscopy and Pulmonology Ospedale Maggiore, Bologna, Italy 2 Unit of Pathology Ospedale Maggiore, Bologna, Italy
Bronchoscopic diagnostic approach to mediastinal diseases has been revolutionized in the last 2 decades by the widespread use of transbronchial needle aspiration (TBNA). This is a low cost, minimally invasive procedure with a low complication rate. The technique is a versatile one, as it can be used to sample mediastinal, submucosal, peribronchial, and peripheral pulmonary lesions. In the specific setting of the mediastinal diseases, TBNA has been successfully used in diagnosis of neoplastic, inflammatory, infectious, and developmental disorders involving the middle mediastinum.