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Oikonomidou R, Petridis D, Kosmidis C, Sapalidis K, Hohenforst-Schmidt W, Christakidis V, Petanidis S, Mathaios D, Perdikouri EI, Baka S, Tolis C, Vagionas A, Zaric B, Ioannidis A, Anemoulis M, Porpodis K, Papadopoulos V, Zarogoulidis P. Cryo-Biopsy versus 19G needle versus 22G needle with EBUS-TBNA endoscopy. J Cancer 2022; 13:3084-3090. [PMID: 36046658 PMCID: PMC9414011 DOI: 10.7150/jca.75589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Accepted: 07/17/2022] [Indexed: 11/18/2022] Open
Abstract
Introduction: We have been using cryo-biopsy for endobronchial lesions for lung cancer diagnosis and debulking. Cryo-biopsy is also known to be an excellent tool for diagnosis of lung interstitial disease. Recently cryo-biopsy with the 1.1mm probe was used for lymphnode biopsy. Patients and Methods: 311 patients participated with lymphadenopathy and at least one lung lesion. The following tools were used for diagnosis; 22G Mediglobe Sonotip, 22G Medigolbe, 21G Olympus, 19G Olympus and 1.1mm cryo probe ERBE CRYO 2 system (3 seconds froze). A PENTAX Convex-probe EBUS was used for biopsy guidance. Results: Cell-blocks slices had a higher number in the 19G needle group (19G> Cryo Probe>22G Mediglobe Sonotip >21G Olympus >22G Mediglobe). Conclusion: Cryo biopsy of the lymphnodes is safe with the 1.1mm cryo probe. Further studies are needed in order to evaluate new probes and the technique specifications.
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Affiliation(s)
| | - Dimitris Petridis
- Department of Food Technology, School of Food Technology and Nutrition, Alexander Technological Educational Institute, Thessaloniki, Greece
| | | | | | - Wolfgang Hohenforst-Schmidt
- Sana Clinic Group Franken, Department of Cardiology / Pulmonology / Intensive Care / Nephrology, ''Hof'' Clinics, University of Erlangen, Hof, Germany
| | | | - Savas Petanidis
- Department of Pulmonology, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
| | | | | | - Sofia Baka
- Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece
| | | | | | - Bojan Zaric
- Faculty of Medicine, University of Novi Sad, Institute for Pulmonary Diseases of Vojvodina, Novi Sad, Serbia
| | - Aris Ioannidis
- Surgery Department, Genesis Private Hospital, Thessaloniki, Greece
| | - Marios Anemoulis
- General Surgery Department, General Clinic Euromedica, Thessaloniki, Greece
| | - Konstantinos Porpodis
- Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Vasileios Papadopoulos
- Oncology Department, University General Hospital of Larissa, University of Thessali, Larissa, Greece
| | - Paul Zarogoulidis
- Pulmonary-Oncology Department, "General Clinic" Private Clinic, Thessaloniki, Greece
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