Fifty consecutive patients undergoing EBUS at AUBMC for suspected malignancy will be enrolled.
Consecutive patients with suspected malignant peribronchial masses or lymph nodes undergoing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-FNA) will enrolled. All participants will have 4 needle aspirations of each targeted peribronchial lesion. Two needle aspitations are performed while applying suction and 2 needle aspirations will be performed without applying suction in random order. the investigators will compare the diagnostic yield and the quality of the specimens obtained using the two techniques.
Adult undergoing EBUS at AUBMC for suspected malignancy
Coagulopathy
The lesion cannot be sampled because of intervening tumor or blood vessels.