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Transbronchial Needle Aspiration (TBNA): Past Present and Future

[ Vol. 10 , Issue. 3 ]


C. Gilbert, R. Ortiz, Y. Ma, H.J. Lee, L. Yarmus and K. Wang   Pages 176 - 181 ( 6 )


Transbronchial needle aspiration biopsy (TBNA) was developed in the 1980’s as a technique for mediastinal and hilar lymph node biopsy. This offered pulmonologists and patients a minimally invasive technique for mediastinal non-small cell lung cancer staging and served as an alternative to surgical mediastinoscopy. Over the last few decades there are new additions to this technique using guided TBNA with endobronchial ultrasound (EBUS) and the use navigational bronchoscopy for peripheral lung TBNA. The future of TBNA may potentially transition from a diagnostic tool to a therapeutic instrument by locally injecting medications.


Bronchoscopy, transbronchial needle aspiration.


Division of Pulmonary/ Critical Care Medicine, Johns Hopkins University, 1800 Orleans Street, Zayed 7125L, Baltimore, MD 21287, USA.

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