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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...

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Autores principales: Tashi, Eritjan, Kapisyzi, Perlat, Xhemalaj, Daniela, Andoni, Alma, Peposhi, Ilir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
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.
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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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