Incidence of SCLN Metastasis in Patients Referred for EBUS-TBNA
Withdrawn before enrolling
Conditions studied: Lung Cancer
In brief
Evaluation of the anatomic extent of a primary lung cancer and presence of metastasis are essential for selection of an appropriate management strategy. Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is a reliable and established technique to evaluate involvement of mediastinal lymph nodes (LN); however, it is an invasive procedure and may not be tolerated in patients with severe underlying lung disease. One exception is the superficially located supraclavicular lymph nodes (SCLN), which can easily be biopsied with percutaneous US-guided-fine needle aspiration (US-FNA). Traditionally, this nodal group is evaluated by palpation; however, literature suggests that palpation itself fails to capture 66% of proven disease by cytology, which challenges the acceptance that non-palpable nodes are indicative of absent disease. Since all palpable SCLN are biopsied to rule out metastasis, we may potentially up-stage more patients using ultrasound evaluation for non-palpable nodes; and offer more appropriate management. Currently, the incidence for non-palpable SCLN metastasis has not been defined in this patient population presenting for EBUS-TBNA. The primary objective is to determine the incidence of supraclavicular lymph node metastasis by ultrasound evaluation in patients referred for EBUS-TBNA.
Key facts
- Study ID
- NCT03087305
- Run by
- University of Minnesota
- People needed
- 0
- Starts
- 2017-05-01
- Expected to finish
- 2018-07-01
- Last updated by the study team
- 2018-02-01
Who can join
Age: 20 and older, up to 90. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All patients age 20yrs or greater referred for EBUS-TBNA with suspicion for primary lung cancer
You may not qualify if…
- Refusal to sign consent
- Signs of skin infection along the neck
- Adults who lack the capacity to sign consent.
Where it is running
- University of Minnesota — Minneapolis, Minnesota, United States
Full record on ClinicalTrials.gov
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