Endobronchial ultrasound-guided transbronchial needle injection for local control of recurrent non-small cell lung cancer

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an established technique for the diagnosis of thoracic malignancies. Non-ultrasound-guided transbronchial needle injection has been used previously to deliver chemotherapeutic agents. To use endobronchial ultrasound-guid...

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Veröffentlicht in:Annals of the American Thoracic Society 2015-01, Vol.12 (1), p.101-104
Hauptverfasser: Khan, Farrah, Anker, Christopher J, Garrison, Garth, Kinsey, C Matthew
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container_title Annals of the American Thoracic Society
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creator Khan, Farrah
Anker, Christopher J
Garrison, Garth
Kinsey, C Matthew
description Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an established technique for the diagnosis of thoracic malignancies. Non-ultrasound-guided transbronchial needle injection has been used previously to deliver chemotherapeutic agents. To use endobronchial ultrasound-guided transbronchial needle injection (EBUS-TBNI) to achieve local control of recurrent early-stage lung cancer. A 63-year-old man presented with recurrent early stage non-small cell lung carcinoma after chemotherapy and external beam radiation. We used EBUS-TBNI to deliver cisplatin into the tumor located outside the airway. This procedure was performed on three separate occasions without complication. EBUS-TBNI resulted in resolution of fluorodeoxyglucose avidity, measured by positron emission tomography-computed tomography, in the region at 4 weeks. However, at 5 months, there was evidence of distal recurrence. This is the first description of EBUS-TBNI to treat local recurrence of lung cancer and one of the first reports of the use of EBUS for intratumoral therapy. Additional research is warranted to determine the clinical usefulness and safety of this therapeutic approach.
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source MEDLINE; Journals@Ovid Complete; American Thoracic Society (ATS) Journals Online; Alma/SFX Local Collection
subjects Bronchoscopy
Carcinoma, Non-Small-Cell Lung - diagnostic imaging
Carcinoma, Non-Small-Cell Lung - pathology
Endoscopic Ultrasound-Guided Fine Needle Aspiration - instrumentation
Humans
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Male
Middle Aged
Neoplasm Recurrence, Local - diagnosis
Neoplasm Staging - methods
title Endobronchial ultrasound-guided transbronchial needle injection for local control of recurrent non-small cell lung cancer
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