The EUS-FNA examination has a sensitivity of 88 % and a specificity of 91 % in analyzing mediastinal lymph nodes. To date it is not known how EUS-FNA compares with mediastinoscopy, nor to what extent the combination of EUS-FNA and mediastinoscopy boosts preoperative staging. Jouke T. Annema, M.D., Ph.D., of Leiden University INFIRMARY, Leiden, holland, and colleagues conducted a report to determine whether lung cancers staging by EUS-FNA in addition to mediastinoscopy improved preoperative staging compared with staging by mediastinoscopy by itself.The discomfort might limit movement of the affected joint, although some children shall not complain of the pain. Strolling with a limp is an early sign of JRA due to an affected knee. With respect to the intensity of disease, JRA may affect bone cause or development development abnormalities, such as 1 arm or leg developing longer compared to the other. The goal of treatment for JRA can be to control inflammation, relieve pain, and preserve mobility and joint function, and eventually prevent disease progression. ‘If still left untreated, JRA may sluggish a child’s growth and trigger disability into adulthood,’ stated Daniel J. Lovell, MD, MPH, associate director, Unique Treatment Center for Juvenile Arthritis, Cincinnati Children’s Hospital Medical Center, Cincinnati.