The Role of the Pulmonologist in Rapid On-site Cytologic Evaluation of Transbronchial Needle Aspiration

摘要: Background Rapid on-site cytologic evaluation (ROSE) of specimens is a useful ancillary technique in needle aspiration procedures pulmonary/mediastinal lesions. ROSE not widespread technique, however, because lack time and resources. Our aim was to verify whether, comparison with board-certified cytopathologist, pulmonologist could evaluate the adequacy transbronchial (TBNA) diagnose hilar/mediastinal adenopathies/masses after receiving training cytopathology. secondary assess compare accuracy as performed by both physicians. Methods A latter deemed gold standard, classified into five diagnostic categories. Agreement between clinicians assessed through κ statistics. The established according definitive assessment. Results total 362 TBNAs were on 84 patients affected lymphadenopathies. There an 81% overall substantial agreement observers (κ, 0.73; 95% CI, 0.61-0.86; P, 0.001), which became excellent cases malignant disease 0.81; 0.70-0.90; 0.001). (80%; 77-90) statistically different from that provided cytopathologist (92%; 85-94). Conclusions study provides first evidence, our knowledge, trained can smears on-site. Training pulmonologists have basic knowledge cytopathology obviate most difficulties related involvement cytopathologists routine activities may reduce costs procedure.