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Pancoast tumor approach through oesophagus
Patient with Pancoast Tumor usually present in advanced stage of the disease which requires chemotherapy and radiotherapy as options of treatment. Histologic confirmation is a key for further treatment of these patients. Normally in bronchoscopy the lesion can't be visualised and in result maki...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582376/ https://www.ncbi.nlm.nih.gov/pubmed/28913160 http://dx.doi.org/10.1016/j.rmcr.2017.08.006 |
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author | Tashi, Eritjan Kapisyzi, Perlat Xhemalaj, Daniela Andoni, Alma Peposhi, Ilir |
author_facet | Tashi, Eritjan Kapisyzi, Perlat Xhemalaj, Daniela Andoni, Alma Peposhi, Ilir |
author_sort | Tashi, Eritjan |
collection | PubMed |
description | Patient with Pancoast Tumor usually present in advanced stage of the disease which requires chemotherapy and radiotherapy as options of treatment. Histologic confirmation is a key for further treatment of these patients. Normally in bronchoscopy the lesion can't be visualised and in result making biopsy difficult to perform. Transthoracic biopsy through computed tomography poses anatomic difficulties and not always the pulmonary lesion can be reached. We report a case of pancoast tumor in a 68 year old male who presented with left arm pain and upper lobe increased density mass in chest x ray. Computed tomography confirmed an upper lobe mass of the left lung with invasion of the chest wall. It was successfully diagnosed with biopsy taken through the oesophagus of intrapulmonary mass with the EBUS bronchoscope (EUS- B FNA). No complication were observed during and after the procedure. To our knowledge this is the first case of making the diagnosis of lung carcinoma Pancoast tumor using EBUS bronchoscope with approach through oesophagus (EUS-B FNA). There may be a role in using EBUS specifically to diagnose a pancoast tumor in the right patient population. |
format | Online Article Text |
id | pubmed-5582376 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-55823762017-09-14 Pancoast tumor approach through oesophagus Tashi, Eritjan Kapisyzi, Perlat Xhemalaj, Daniela Andoni, Alma Peposhi, Ilir Respir Med Case Rep Case Report Patient with Pancoast Tumor usually present in advanced stage of the disease which requires chemotherapy and radiotherapy as options of treatment. Histologic confirmation is a key for further treatment of these patients. Normally in bronchoscopy the lesion can't be visualised and in result making biopsy difficult to perform. Transthoracic biopsy through computed tomography poses anatomic difficulties and not always the pulmonary lesion can be reached. We report a case of pancoast tumor in a 68 year old male who presented with left arm pain and upper lobe increased density mass in chest x ray. Computed tomography confirmed an upper lobe mass of the left lung with invasion of the chest wall. It was successfully diagnosed with biopsy taken through the oesophagus of intrapulmonary mass with the EBUS bronchoscope (EUS- B FNA). No complication were observed during and after the procedure. To our knowledge this is the first case of making the diagnosis of lung carcinoma Pancoast tumor using EBUS bronchoscope with approach through oesophagus (EUS-B FNA). There may be a role in using EBUS specifically to diagnose a pancoast tumor in the right patient population. Elsevier 2017-08-30 /pmc/articles/PMC5582376/ /pubmed/28913160 http://dx.doi.org/10.1016/j.rmcr.2017.08.006 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Tashi, Eritjan Kapisyzi, Perlat Xhemalaj, Daniela Andoni, Alma Peposhi, Ilir Pancoast tumor approach through oesophagus |
title | Pancoast tumor approach through oesophagus |
title_full | Pancoast tumor approach through oesophagus |
title_fullStr | Pancoast tumor approach through oesophagus |
title_full_unstemmed | Pancoast tumor approach through oesophagus |
title_short | Pancoast tumor approach through oesophagus |
title_sort | pancoast tumor approach through oesophagus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582376/ https://www.ncbi.nlm.nih.gov/pubmed/28913160 http://dx.doi.org/10.1016/j.rmcr.2017.08.006 |
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