Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

Evaluation of mediastinal lymphadenopathy is often challenging. Endobronchial Ultrasound (EBUS) is a novel technique which provides real time sonographic guidance during Transbronchial Needle Aspiration (TBNA) from mediastinal and hilar lesions. A 60-year-old smoker presented with two months history...

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Veröffentlicht in:Journal of Nepal Health Research Council 2018-10, Vol.16 (3), p.351-353
Hauptverfasser: Dhungana, Ashesh, Shrestha, Prajowl, Shrestha, Kiran, Shah, Shristi, Karki, Pratikchya, Upreti, Harish Chandra
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container_end_page 353
container_issue 3
container_start_page 351
container_title Journal of Nepal Health Research Council
container_volume 16
creator Dhungana, Ashesh
Shrestha, Prajowl
Shrestha, Kiran
Shah, Shristi
Karki, Pratikchya
Upreti, Harish Chandra
description Evaluation of mediastinal lymphadenopathy is often challenging. Endobronchial Ultrasound (EBUS) is a novel technique which provides real time sonographic guidance during Transbronchial Needle Aspiration (TBNA) from mediastinal and hilar lesions. A 60-year-old smoker presented with two months history of cough and chest pain on the right side. CT thorax revealed a right upper lobe spiculated mass with paratracheal (Station 4R) and subcarinal (Station 7) lymph nodes. Bronchoscopy did not reveal any endobronchial mass. Since EBUS-TBNA is superior to conventional TBNA for malignant mediastinal node, an EBUS- TBNA was performed from both lymph node stations. . Cytopathology and histopathology revealed non-small cell lung cancer. We hereby report the first use of EBUS-TBNA in Nepal, in a patient with lung cancer and mediastinal lymphadenopathy. Keywords: Endobronchial ultrasound; lung cancer; mediastinal lymph node; transbronchial needle aspiration.
doi_str_mv 10.33314/jnhrc.v16i3.1257
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Endobronchial Ultrasound (EBUS) is a novel technique which provides real time sonographic guidance during Transbronchial Needle Aspiration (TBNA) from mediastinal and hilar lesions. A 60-year-old smoker presented with two months history of cough and chest pain on the right side. CT thorax revealed a right upper lobe spiculated mass with paratracheal (Station 4R) and subcarinal (Station 7) lymph nodes. Bronchoscopy did not reveal any endobronchial mass. Since EBUS-TBNA is superior to conventional TBNA for malignant mediastinal node, an EBUS- TBNA was performed from both lymph node stations. . Cytopathology and histopathology revealed non-small cell lung cancer. We hereby report the first use of EBUS-TBNA in Nepal, in a patient with lung cancer and mediastinal lymphadenopathy. 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subjects Carcinoma, Non-Small-Cell Lung - diagnosis
Carcinoma, Non-Small-Cell Lung - pathology
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Humans
Lung Neoplasms - diagnosis
Lung Neoplasms - pathology
Male
Middle Aged
title Endobronchial Ultrasound Guided Transbronchial Needle Aspiration
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