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Complete endosonographic staging of lung cancer
  1. Jouke T Annema
  1. Correspondence to Dr Jouke T Annema, Department of Respiratory Medicine, AMC, Meibergdreef 9, P.O. Box 22660, Amsterdam 1100 DD, The Netherlands; j.t.annema{at}

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With great interest, I read the article by Kang and colleagues in which they performed a randomised comparison between EBUS-centred versus EUS-centred mediastinal nodal staging of lung cancer.1 As expected, no difference in diagnostic values between the two groups was found. A minimal diagnostic gain of the addition of EUS to EBUS was reported in contrast to a significant diagnostic benefit of the addition of EBUS to EUS. Strikingly, there was a high false-negative rate of EUS regarding the subcarinal station 7—a …

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