A case report on expanding horizon of endobronchial ultrasound through esophagus
- Resource Type
- Authors
- Lucia Vietri; Umberto Zuccon; Giancarlo De Leo; Parikshit Thakare; Alessandra Di Paolo; Angelo Scarda; Francesca Zampieri; Mario Tamburrini; Enrico Gianfagna
- Source
- Monaldi Archives for Chest Disease, Vol 90, Iss 3 (2020)
- Subject
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Lung Neoplasms
Mediastinal lymphadenopathy
Pleural effusion
Thoracentesis
lcsh:Medicine
Lymphadenopathy
Endosonography
Carcinoma, Adenosquamous
Esophagus
Bronchoscopy
Cytology
medicine
Carcinoma
Humans
Lymph node
Hilar Mass
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Aged
thoracocentesis
medicine.diagnostic_test
business.industry
lcsh:R
Mediastinum
respiratory system
medicine.disease
respiratory tract diseases
endobronchial ultrasound through esophagus (EUS-B)
Pleural Effusion
medicine.anatomical_structure
Lymphatic Metastasis
Radiology
Lymph Nodes
Cardiology and Cardiovascular Medicine
business
- Language
- ISSN
- 1122-0643
Endobronchial ultrasound has revolutionized the field of bronchoscopy and has become one of the most important tools for the diagnosis of intrathoracic lymphadenopathy and para-bronchial structures. The reach of this technique has not been limited to these structures and pleural lesions have been at times accessible. To our knowledge, pleural fluid collections have not been accessed with endobronchial ultrasound (EBUS) through oesophageal approach and rationale behind using this approach. We report a case of 70 years old man who has been referred from physician for the EBUS in view of hilar mass with mediastinal lymphadenopathy with pleural effusion. The endobronchial ultrasound through oesophagus (EUS-B) was done for thoracocentesis and lymph node cytology evaluation and ultimately endobronchial biopsy of hilar mass was done as rapid on-site (ROSE) analysis of lymph node was suggestive of necrotic tissue. The cytology report of lymph node and pleural effusion was positive for malignant cells. The final diagnosis was metastatic poorly differentiating adeno-squamous carcinoma.