Juneja M, Irving LP, Steinfort DP. Endoscopic transoesophageal fine-needle aspiration with convex probe bronchoscope for diagnosis of coeliac lymphadenopathy.
ERJ Open Res 2021;
7:00532-2020. [PMID:
33532471 PMCID:
PMC7836600 DOI:
10.1183/23120541.00532-2020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/26/2020] [Indexed: 11/11/2022] Open
Abstract
Endoscopic transoesophageal fine-needle aspiration with a convex probe bronchoscope (EUS-B-FNA) is a complementary technique to endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) for the staging of mediastinal lymph nodes [1]. The safety and feasibility of EUS-B-FNA for sampling pulmonary parenchymal lesions and adrenal lesions has been reported [2, 3]. Recent literature also suggest a role for EUS-B-FNA in the diagnosis of infective lymphadenitis [4]. Here we present two cases of successful sampling of coeliac lymph nodes to further extend the utility of EUS-B-FNA in the assessment of patients with suspected or confirmed lung cancer. Localisation of nodes during the procedure did not involve fluoroscopy and relied upon linear EBUS guidance. Sampling was successfully performed with a 22-G TBNA needle.
EUS-B-FNA is a feasible and accurate technique for diagnosis of extrathoracic lesionshttps://bit.ly/34TFMR8
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