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Volume 350:2008-2010 May 6, 2004 Number 19
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Multidisciplinary Management of Lung Cancer

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 by Spira, A.
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To the Editor: In their review of lung-cancer management (Jan. 22 issue),1 Spira and Ettinger fail to mention the value of endoscopic ultrasonography with fine-needle aspiration in the staging of non–small-cell lung cancer. This method can identify lymph nodes as small as 4 mm in the subcarinal, paraesophageal, and paratracheal regions, but not the pretracheal space or intrapulmonary regions. Transesophageal fine-needle aspiration guided by endoscopic ultrasonography provides tissue for cytologic diagnosis, and the procedure can be performed on an outpatient basis with sedation similar to that used for other endoscopic procedures. This technique has been shown to be both accurate . . . [Full Text of this Article]


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