Guideline in Focus
EBUS Transbronchial Needle Samples

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become the standard for initial lung cancer diagnosis and staging.

Our panel of experts has provided nine evidence-based recommendations to identify best practices for the collection, processing, and handling of EBUS-TBNA specimens.

PUBLISHED SEPTEMBER 27, 2024

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Key Recommendations

In patients with suspected malignant disease undergoing EBUS-TBNA, we suggest utilizing rapid on-site evaluation over usual care.

In patients with suspected malignant disease undergoing EBUS-TBNA, we suggest using a smaller needle (21 gauge or 22 gauge) over a larger needle (19 gauge).

In patients with suspected malignant disease undergoing EBUS-TBNA, we recommend performing four or more needle passes instead of three or less needle passes.


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≥ 4 needle passes

malignant or nonmalignant disease
21 G or 22 G needle

malignant disease
19 G or 21 G or 22 G needle

nonmalignant disease
PRESS RELEASE

Guideline on Handling Endobronchial Ultrasound Transbronchial Needle Samples Released by CHEST
In a release issued to the media, lead author, Christopher Gilbert, DO, MS, FCCP, speaks to the importance of this guideline in practice.

2 MINUTE READ

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