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Vol. 14. Issue 1.
Pages 55-88 (January - February 2008)
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Vol. 14. Issue 1.
Pages 55-88 (January - February 2008)
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Endobronchial ultrasound: Practical aspects and clinical applications
Ecoendoscopia brônquica: Aspectos práticos e aplicabilidade clínica
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António Bugalho1,
, Michael K. Doris2, Juerg Hamacher3, Ralf Eberhardt4, Felix J. Herth4
1 Departamento de Pneumologia, Hospital de Pulido Valente, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal
2 Department of Pneumology, 401 General Army Hospital, Athens, Greece
3 Department of Internal Medicine V/ Pulmonary Division, University Hospitals, Homburg/Saar, Germany
4 Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Germany
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Abstract

Endobronchial ultrasound (EBUS) has become a major advance in bronchoscopy. Substantial scientific evidence has confirmed its usefulness in lung cancer diagnosis and staging, as well as in other clinical settings. It is of growing importance that endoscopists perform and interpret this imaging method accurately, in order to optimize diagnosis and treatment of their patients.

The present article provides a practical and comprehensible review of the two EBUS systems currently available and its main clinical indications.

Key-words:
Endobronchial ultrasound
endoscopic ultrasonography
lung cancer
lymph node
staging
fine needle aspiration biopsy
Resumo

A ecoendoscopia brônquica constitui, na área da broncologia, um dos maiores avanços tecnológicos dos últimos anos. Existe, no presente momento, evidência científica que confirma a sua utilidade não só no diagnóstico e estadiamento do cancro do pulmão, como também noutras patologias. É fundamental que o broncologista execute e interprete este método de imagem correctamente, de forma a optimizar o diagnóstico e o tratamento dos seus doentes. O presente artigo faculta uma revisão de cariz eminentemente prático dos dois sistemas de ecoendoscopia actualmente disponíveis, abordando, igualmente, as suas principais indicações clínicas.

Palavras-chave:
Ecoendoscopia brônquica
ecografia endoscópica
cancro do pulmão
gânglio linfático
estadiamento
punção aspirativa transbrônquica
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