How do you define an adequate EBUS when staging NSCLC?
Is there a minimum standard for which stations to sample? Does lymph node size affect your recommendations?
Answer from: Radiation Oncologist at Academic Institution
Important question. There is a high degree of variability in the diagnostic performance of EBUS based pretest probability of disease, physician experience and skill, quality control, and evaluation skills of the cytopathologist. Nice consensus guidelines from CHEST was published a few years bac...
Agree with the above answer completely. With EBUS, we can sample stations 2, 4, 7, 10, 11, and sometimes even 12. Wanted to add the following practical points to consider.
If we can see a lymph node on ultrasound, we can sample it. Ideally, we start with N3 lymph nodes and slowly work towards N1,...