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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Am+Thorac+Soc
2015 ; 12
(10
): 1534-41
Nephropedia Template TP
gab.com Text
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Mediastinal Granulomatous Inflammation and Overall Survival in Patients with a
History of Malignancy
#MMPMID26284901
Grosu HB
; Ost DE
; Morice RC
; Eapen GA
; Li L
; Song J
; Lei X
; Lazarus DR
; Casal RF
; Jimenez CA
Ann Am Thorac Soc
2015[Oct]; 12
(10
): 1534-41
PMID26284901
show ga
RATIONALE: Investigators have postulated that mediastinal granulomatous
inflammation is associated with prolonged overall survival in patients with
cancer. OBJECTIVES: We sought to determine whether mediastinal granulomatous
inflammation affects overall survival in patients with a history of treated
cancer. METHODS: Patients with a history of treated cancer who underwent
endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) for
evaluation of mediastinal or hilar lymphadenopathy were grouped based on whether
they had mediastinal granulomatous inflammation or benign mediastinal
lymphadenopathy without granulomas. Overall survival from the date of EBUS-TBNA
to cancer-related death or to last follow-up in patient groups was compared.
MEASUREMENTS AND MAIN RESULTS: We reviewed the records of 106 patients (44 with
mediastinal granulomatous inflammation and 62 with benign mediastinal
lymphadenopathy). The 3-year survival rate was 90% overall and 93 and 88% in
patients with mediastinal granulomatous inflammation and benign mediastinal
lymphadenopathy, respectively (P=0.40). After multivariate adjustment, whether
patients had mediastinal granulomatous inflammation or benign mediastinal
lymphadenopathy did not significantly affect the risk of cancer death
(mediastinal granulomatous inflammation to benign mediastinal lymphadenopathy
hazard ratio, 1.27; P=0.76). CONCLUSIONS: These results suggest that patients who
develop mediastinal granulomatous inflammation after cancer treatment do not have
an increased overall survival when compared with patients who develop benign
mediastinal lymphadenopathy. EBUS-TBNA is warranted for patients with treated
cancer who develop mediastinal and/or hilar lymphadenopathy to avoid erroneous
upstaging or misdiagnosis of cancer recurrence that would lead to suboptimal
management.