EBUS-TBNA Utility versus Mediastinoscopy

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EBUS-TBNA Utility versus Mediastinoscopy Introduction The primary rule of any treatment regimen is to first do no harm which is the first paradigm learned in any healthcare training program. This necessarily covers a large grouping of consequences among which are physical, emotional and financial harm. It is imperative that treatments continuously be discovered which will better allow professionals to determine what is happening with the patient, but improving these treatments so that they are less invasive and more comfortable is also a significant goal. Reducing the financial burden of treatments is a peripheral goal, but if it is attainable it will lessen the stress that patients feel also. Some of the most expensive, physically painful and emotionally difficult treatments available are those which try to discover whether a patient has some form of cancer. Because of the emotional toll such a diagnosis can have for the individual, it is especially necessary to ensure comfort during the procedure. In the case of lung lesions, mediastinoscopy has long been the treatment of choice because it gives the physician a clear diagnostic picture of what is happening to the patient. However, there is an alternative that has been used in recent years that may prove more cost-effective and less troublesome to the patient. Endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) is a procedure in which the ultrasound serves as a guide for the more invasive procedure

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