ERS/ESGE/ESTS clinical practice guidelines on endobronchial and oesophageal endosonography for the diagnosis and staging of lung cancer

作者：Daniël A. Korevaar, Bojan Kovacevic, Efthymia Papadopoulou, Frank J C van den Broek, Luca Bertolaccini, Maria Joana Catarata, Nerissa P. Denswil, Antonio Facciorusso, Maciej Gnass, D Gompelmann, Felix J.F. Herth, Konstantina Kontogianni, Evangelia Koukaki, Mateja Marc‐Malovrh, Mărioara Șimon, Antonio Moretti, Nuria M. Novoa, Andrada Seicean, Nicole Ngai Yung Tsang, Céline Demonceau, Thomy Tonia, José Sanz-Santos, Lars Konge, Peter Vilmann, Jouke T. Annema · 发表于：European Respiratory Journal · 年份：2026 · DOI：10.1183/13993003.00097-2026 · 被引用次数：1 · 研究领域：Lung Cancer Diagnosis and Treatment、Tracheal and airway disorders、Esophageal Cancer Research and Treatment

BACKGROUND: the major airways (endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)) and oesophagus (endoscopic transoesophageal ultrasound-guided fine-needle aspiration (EUS-FNA)). EUS-FNA can also be performed using an EBUS scope (EUS-B-FNA). METHODS: Task force members were selected from the European Respiratory Society, European Society of Gastrointestinal Endoscopy and European Society of Thoracic Surgeons. Members formulated 12 guideline questions. Systematic literature searches were performed in MEDLINE and Embase (final searches: April 2025). Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was applied for assessing the certainty of evidence and developing recommendations. RESULTS: In (suspected) non-small cell lung cancer, endosonography is recommended over mediastinoscopy for mediastinal nodal tissue staging. Systematic staging is suggested over targeted staging as the minimal standard. Ideally, combined EBUS-TBNA+EUS(-B)-FNA is performed instead of EBUS-TBNA alone. Add-on mediastinoscopy after a negative endosonography is not recommended. Endosonography is suggested over mediastinoscopy for restaging after induction therapy. EBUS-TBNA and EUS(-B)-FNA are recommended for centrally located tumours adjacent to the major airways/oesophagus. Both EUS-B-FNA and EUS-FNA are suggested for left adrenal gland analysis. It is suggested that competence is acquired in a simulation-based environment and ensured using v...