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Bronchoscopic Myths and Legends Transbronchial Needle Aspiration of Mediastinal and Hilar Lymph Nodes in the Diagnosis of Lymphoma

Rao, Aniel K. MD*; Ben-Or, Sharon MD; Bowling, Mark R. MD

doi: 10.1097/CPM.0000000000000011
Clinical Myths and Evidence-Based Medicine
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Transbronchial needle aspiration of mediastinal and hilar lymph nodes is a well-established technique for the diagnosis and staging of lung cancer as well as sarcoidosis. However, it is not clear as to the role of this procedure in the diagnosis of lymphoproliferative disorders. This article reviews the available data to investigate the utility of transbronchial needle aspiration for this group of disorders.

*Department of Internal Medicine, School of Medicine, 350C-MA Vidant Medical Center

ECU Physicians-Thoracic Surgery, School of Medicine, East Carolina Heart Institute

Department of Internal Medicine, School of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, East Carolina University, Greenville, NC

Disclosures: S.B.-O. and M.R.B. are paid consultants for Covidien Surgical Solutions. A.K.R. declares that there is nothing to disclose.

Address correspondence to: Mark R. Bowling MD, Department of Internal Medicine, School of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, East Carolina University, 3E-149 Brody Medical Sciences Building, 600 Moye Blvd, Mail Stop 328, Greenville, NC 278834-4354. E-mail: bowlingm@ecu.edu.

© 2014 by Lippincott Williams & Wilkins, Inc.