title: [Endobronchial ultrasonography (EBUS) for the internist].
abstract: Endobronchial ultrasonography (EBUS) is a recent mini-invasive technique allowing transbronchial needle aspiration (TBNA) of mediastinal lymph nodes as well as peribronchial lesions. EBUS was initially developed for lung cancer mediastinal staging. Over the years, indications for EBUS have been progressively extended to the scope of inflammatory disorders, mediastinal lymphomas, and infectious diseases. Particularly in immunosuppressed patients, including HIV-infected patients, EBUS allows the diagnosis of several diseases that involve the mediastinum, avoiding invasive surgical explorations such as mediastinoscopy or thoracoscopy. This review aims at discussing the technical aspects, and specifies indications, results, and limits of EBUS for the internist.
authors.affiliation: Unité de pneumologie, département thoracique, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France; Service de maladies infectieuses et tropicales, Assistance publique-Hôpitaux de Paris, CHU Bicêtre, Le Kremlin-Bicêtre, France. Electronic address: jean-baptiste.stern@imm.fr.
authors.forename: J-B
authors.initials: JB
authors.lastname: Stern
authors.affiliation: Service de maladies infectieuses et tropicales, Assistance publique-Hôpitaux de Paris, CHU Bicêtre, Le Kremlin-Bicêtre, France.
authors.forename: B
authors.initials: B
authors.lastname: Wyplosz
authors.affiliation: Unité de pneumologie, département thoracique, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Girard
authors.affiliation: Département d'anatomie pathologique, institut mutualiste Montsouris, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Validire
authors.affiliation: Service de maladies infectieuses et tropicales, Assistance publique-Hôpitaux de Paris, CHU Bicêtre, Le Kremlin-Bicêtre, France.
authors.forename: L
authors.initials: L
authors.lastname: Escaut
authors.affiliation: Unité de pneumologie, département thoracique, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Caliandro
mesh_terms: D001999:Bronchoscopy / Q000379:methods* / Q000706:statistics & numerical data; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D006801:Humans; D007388:Internal Medicine / Q000379:methods*; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000473:pathology; D008481:Mediastinoscopy; D009367:Neoplasm Staging / Q000379:methods; D012140:Respiratory Tract Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D018084:Ultrasonography, Interventional / Q000706:statistics & numerical data
keywords: Cytoponction sous écho-endoscopie; Diagnostic techniques; Endoscopic ultrasound-guided fine needle aspiration; Lymph node tuberculosis; Lymph nodes; Lymphonœuds; Mediastinum; Médiastin; Respiratory system; Technique de diagnostic des maladies de l’appareil respiratoire; Tuberculose des ganglions lymphatiques