Transesophageal Endoscopic Ultrasound-guided Fine Needle Aspiration for the Diagnosis of a Lung Nodule that Was Non-abutting on CT

An 80-year-old man presented with a right side lung tumor. The tumor was not abutting the bronchus or chest wall; thus, endobronchial ultrasound (EBUS) and CT-guided biopsy were considered to be technically difficult. We therefore attempted endoscopic ultrasound-guided fine needle aspiration (EUS-FN...

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Detalles Bibliográficos
Autores principales: Nakai, Yousuke, Isayama, Hiroyuki, Watanabe, Takeo, Mizuno, Suguru, Kogure, Hirofumi, Matsubara, Saburo, Tada, Minoru, Koike, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5675936/
https://www.ncbi.nlm.nih.gov/pubmed/28924107
http://dx.doi.org/10.2169/internalmedicine.7819-16
Descripción
Sumario:An 80-year-old man presented with a right side lung tumor. The tumor was not abutting the bronchus or chest wall; thus, endobronchial ultrasound (EBUS) and CT-guided biopsy were considered to be technically difficult. We therefore attempted endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). Although the nodule was not abutting the esophagus on CT, an irregularly shaped hypoechoic lesion was visualized on EUS. EUS-FNA was successfully performed. The tumor was diagnosed as squamous cell carcinoma. This case illustrates that transesophageal EUS-FNA may be feasible when diagnostic procedures such as EBUS- or CT-guided biopsy are considered to be technically difficult.

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