Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial

Institute of Pathology and Neuropathology, Reference Center for Hematopathology University Hospital, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany

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Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, 7057 Essen, Germany

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Institute for Pathology, MVZ Hanse Histologikum, 22547 Hamburg, Germany

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Department of Pathology/Hematopathology, Institute for Hematopathology, 22547 Hamburg, Germany

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Center for Interstitial and Rare Lung Diseases, Department of Pneumology, Thoraxklinik, University of Heidelberg and German Center for Lung Research (DZL), 69117 Heidelberg, Germany

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University of Worcester, Worcester WR2 6AJ, UK

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Department Physiology of Cognitive Processes, Max Planck Institute for Biological Cybernetics, 72076 Tübingen, Germany

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Center for Integrative Neuroscience, Eberhard Karls University of Tübingen, 72074 Tübingen, Germany

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Center for Biomedical Imaging & Neurostimulation, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY 10962, USA

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Department of Pneumology, Klinik Loewenstein, 74245 Loewenstein, Germany

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Chest Medicine Department, Mansoura University, Mansoura 35516, Egypt

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Department of Internal Medicine, Gastroenterology and Tumor Medicine, 73760 Ostfildern-Ruit, Germany

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Academic Editor: Sukhwinder Singh Sohal

J. Clin. Med. 2021, 10(23), 5686; https://doi.org/10.3390/jcm10235686

Received: 27 October 2021 / Revised: 24 November 2021 / Accepted: 30 November 2021 / Published: 2 December 2021

(This article belongs to the Special Issue Interventional Pulmonology: A New World)

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Abstract

Background: Transbronchial lung forceps biopsy (TBLF) is of limited value for the diagnosis of interstitial lung disease (ILD). However, in cases with predominantly peribronchial pathology, such as sarcoidosis, TBLF is considered to be diagnostic in most cases. The present study examines whether transbronchial lung cryobiopsy (TBLC) is superior to TBLF in terms of diagnostic yield in cases of sarcoidosis. Methods: In this post hoc analysis of a prospective, randomized, controlled, multicentre study, 359 patients with ILD requiring diagnostic bronchoscopic tissue sampling were included. TBLF and TBLC were both used for each patient in a randomized order. Histological assessment was undertaken on each biopsy and determined whether sarcoid was a consideration. Results: A histological diagnosis of sarcoidosis was established in 17 of 272 cases for which histopathology was available. In 6 out of 17 patients, compatible findings were seen with both TBLC and TBLF. In 10 patients, where the diagnosis of sarcoidosis was confirmed by TBLC, TBLF did not provide a diagnosis. In one patient, TBLF but not TBLC confirmed the diagnosis of sarcoidosis. Conclusions: In this post hoc analysis, the histological diagnosis of sarcoidosis was made significantly more often by TBLC than by TBLF. As in other idiopathic interstitial pneumonias (IIPs), the use of TBLC should be considered when sarcoidosis is suspected. View Full-Text

Keywords: sarcoidosis; bronchoscopy; transbronchial biopsy; cryobiopsy

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MDPI and ACS Style

Häntschel, M.; Eberhardt, R.; Petermann, C.; Gesierich, W.; Darwiche, K.; Hagmeyer, L.; Colby, T.V.; Fend, F.; Theegarten, D.; Wintzer, H.-O.; Kreuter, M.; Spengler, W.; Behrens-Zemek, A.F.; Lewis, R.A.; Evrard, H.C.; Ehab, A.; Böckeler, M.; Hetzel, J. Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial. J. Clin. Med. 2021, 10, 5686. https://doi.org/10.3390/jcm10235686

AMA Style

Häntschel M, Eberhardt R, Petermann C, Gesierich W, Darwiche K, Hagmeyer L, Colby TV, Fend F, Theegarten D, Wintzer H-O, Kreuter M, Spengler W, Behrens-Zemek AF, Lewis RA, Evrard HC, Ehab A, Böckeler M, Hetzel J. Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial. Journal of Clinical Medicine. 2021; 10(23):5686. https://doi.org/10.3390/jcm10235686

Chicago/Turabian Style

Häntschel, Maik, Ralf Eberhardt, Christoph Petermann, Wolfgang Gesierich, Kaid Darwiche, Lars Hagmeyer, Thomas V. Colby, Falko Fend, Dirk Theegarten, Hanns-Olof Wintzer, Michael Kreuter, Werner Spengler, Annika F. Behrens-Zemek, Richard A. Lewis, Henry C. Evrard, Ahmed Ehab, Michael Böckeler, and Jürgen Hetzel. 2021. "Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial" Journal of Clinical Medicine 10, no. 23: 5686. https://doi.org/10.3390/jcm10235686

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Diagnostic Yield of Transbronchial Lung Cryobiopsy Compared to Transbronchial Forceps Biopsy in Patients with Sarcoidosis in a Prospective, Randomized, Multicentre Cross-Over Trial

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