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Lven ln Lhe presence of a lung nodule / mass, one should conslder Lapplng Lhe
euslon rsL as lL can provlde boLh dlagnosls and sLage
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See recenL ACC guldellnes by Wahldl eL.al.
1here are emerglng daLa LhaL deep sedauon may be beuer for L8uS sLaglng: ?armus
eL.al., Ann Am 1horac Soc. 2013 Apr,10(2):121-6
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1hls was a survey performed aL an ACC meeung. ercenLages refer Lo responders
who consldered Lhe lssue an absoluLe or relauve conLralndlcauon (AC / 8C
respecuvely).
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A recenL meLa-analyls concluded LhaL Lhe pooled dlagnosuc yleld of gulded
bronchoscopy ls approxlmaLely 70 whlch ls hlgher Lhan LhaL of Lradluonal
Lransbronchlal blopsy. 1he yleld of gulded bronchoscopy ls lower Lhan LhaL of Lrans-
Lhoraclc needle, buL so are Lhe compllcauons. [Wang Memoll eL.al., CPLS1 2012,
142:383]

1he ACC Lung Cancer lll guldellnes recommend radlal probe L8uS lf Lhe pauenL
needs a ussue dlagnosls prlor Lo surgery due Lo uncerLalnLy of dlagnosls or poor
operablllLy [CPLS1 2013, 143:3]
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CurrenLly an opuon for pauenLs who are nC1 surglcal candldaLes and have n0
dlsease (need Lo sLage hllum vla L8uS)
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5evete ostbmo wos JefoeJ os symptomouc Jesplte beloq moooqeJ oo cooveouoool tbetopy of
blqb Joses of loboleJ cotucostetolJs (lc5 - Joses qteotet tboo 1000 q pet Joy 8eclometbosooe ot
epolvoleot) ooJ looq-ocuoq 6
2
-oqoolsts (lA8A - Joses of ot leost 100 q pet Joy 5olmetetol ot
epolvoleot).


3-year daLa presenLed aL A1S 2013: susLalned resulLs. [awalung publlcauon]
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