The role of conventional bronchoscopy in the workup of suspicious CT scan screen-detected pulmonary nodules

van 't Westeinde, Susan C; Horeweg, Nanda; Vernhout, René M; Groen, Harry JM; Lammers, Jan-Willem J; Weenink, Carla; Nackaerts, Kristiaan; Oudkerk, Matthijs; Mali, Willem; Thunnissen, Frederik B; de Koning, Harry J; van Klaveren, Rob J

doi:10.1378/chest.11-2030

The role of conventional bronchoscopy in the workup of suspicious CT scan screen-detected pulmonary nodules

Author:

van 't Westeinde, Susan C

Horeweg, Nanda ; Vernhout, René M ; Groen, Harry JM ; Lammers, Jan-Willem J ; Weenink, Carla ; Nackaerts, Kristiaan ; Oudkerk, Matthijs ; Mali, Willem ; Thunnissen, Frederik B ; de Koning, Harry J ; van Klaveren, Rob J

Keywords:

Science & Technology, Life Sciences & Biomedicine, Critical Care Medicine, Respiratory System, General & Internal Medicine, NAVIGATION DIAGNOSTIC BRONCHOSCOPY, PERIPHERAL LUNG LESIONS, ENDOBRONCHIAL ULTRASONOGRAPHY, CANCER, MANAGEMENT, GUIDELINES, TRIAL, TOMOGRAPHY, BIOPSY, Aged, Bronchoscopy, Cohort Studies, Early Detection of Cancer, Female, Humans, Lung Neoplasms, Male, Middle Aged, Predictive Value of Tests, Solitary Pulmonary Nodule, Time Factors, Tomography, X-Ray Computed, 1103 Clinical Sciences, 3201 Cardiovascular medicine and haematology, 3202 Clinical sciences

Abstract:

Up to 50% of the participants in CT scan lung cancer screening trials have at least one pulmonary nodule. To date, the role of conventional bronchoscopy in the workup of suspicious screen-detected pulmonary nodules is unknown. If a bronchoscopic evaluation could be eliminated, the cost-effectiveness of a screening program could be enhanced and the potential harms of bronchoscopy avoided.