Ecoendoscopia brônquica: Aspectos práticos e aplicabilidade clínica

 

Endobronchial ultrasound: Practical aspects and clinical applications

 

António Bugalho 1

Michael K Doris 2

Juerg Hamacher 3

Ralf Eberhardt 4

Felix J Herth 4

 

 

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

 

 

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.

 

 

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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

 

Correspondência: António Bugalho

Unidade de Técnicas Invasivas Pneumológicas

Hospital de Pulido Valente

Alameda das Linhas de Torres, 117, 1769-001 Lisboa, Portugal

 

Recebido para publicação/received for publication: 07.07.19

Aceite para publicação/accepted for publication: 07.10.08