Endobronchial ultrasound-guided transbronchial biopsy for peripheral lung lesions

Current evidence on the efficacy of endobronchial ultrasound-guided transbronchial biopsy (EBUS–TBB) for peripheral lung lesions supports the efficacy of the procedure in producing a high diagnostic yield. With regard to safety, there is an incidence of false negative results in malignant disease, so negative or inconclusive specimens should be further investigated using other biopsy techniques. The procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit.

This procedure should only be carried out by a bronchoscopist who has had specific training and mentoring in the technique.