How do you approach a thoracic lymph node that is highly suspicious on CT and PET but negative on EBUS in patients with NSCLC?
Answer from: Radiation Oncologist at Academic Institution
Our institution is very privileged in having a very large, highly expert team of interventional pulmonologists. In the cases where we are conflicted over how to interpret imaging of concerning lymph nodes, and where we have had the chance for a deep dive at tumor board and accompanying expert radiol...
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Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System I fully agree with @Gregory M. Videtic and @Billy ...
Radiation Oncologist at Quillen VA Medical Center If the node is negative, surgery or SBRT. If the n...
Answer from: Radiation Oncologist at Academic Institution
I agree with Dr. @Gregory M. Videtic in the setting of a highly expert interventional pulmonology (and pathology) team.
However, there can be a large range of diagnostic yield and false negative rates depending on expertise and technique. Some factors help distinguish a "negative" biopsy from ...
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Radiation Oncologist at McMaster University School of Medicine I completely agree with Drs. @Billy W. Loo and @Gr...
Briefly, a lymph node that is highly suspicious on CT and PET but negative on EBUS in patients with NSCLC, EBUS is performed by experienced interventional pulmonologists with ROSE to confirm adequacy and discussion with cytologist should be discussed in a multidisciplinary fashion and likely referre...
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Radiation Oncologist at UNC School of Medicine Great question and discussion. Key point to emphas...
I fully agree with @Gregory M. Videtic and @Billy ...
If the node is negative, surgery or SBRT. If the n...