PREOPERATIVE STAGING OF NONSMALL CELL LUNG-CANCER - TRANSESOPHAGEAL US-GUIDED FINE-NEEDLE ASPIRATION BIOPSY OF MEDIASTINAL LYMPH-NODES

被引:40
作者
WIERSEMA, MJ
KOCHMAN, ML
CRAMER, HM
WIERSEMA, LM
机构
[1] ST VINCENT HOSP,DEPT MED,INDIANAPOLIS,IN
[2] ST VINCENT HOSP,DEPT PATHOL,INDIANAPOLIS,IN
[3] HLTH CARE CTR,INDIANAPOLIS,IN
[4] INDIANA UNIV,SCH MED,DIV GASTROENTEROL,INDIANAPOLIS,IN
[5] INDIANA UNIV,SCH MED,DIV CYTOPATHOL,INDIANAPOLIS,IN
关键词
LYMPHATIC SYSTEM; NEOPLASMS; MEDIASTINUM; US;
D O I
10.1148/radiology.190.1.8259412
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate the usefulness of transesophageal real-time ultrasound (US)-guided fine-needle aspiration biopsy (FNAB) in staging non-small cell lung carcinoma. MATERIALS AND METHODS: Two patients (a 64-year-old man and a 48-year-old woman) with non-small cell lung carcinoma and mediastinal lymphadenopathy detected at computed tomography underwent preoperative evaluation with transesophageal real-time US-guided FNAB. Two aspirates were obtained from each patient. RESULTS: Diagnostic tissue from a contralateral posterior mediastinal lymph node was obtained from the first aspirate in each case. Neither patient experienced a complication as a result of this technique, and both were subsequently referred for palliative therapy in light of these findings. CONCLUSION. Real-time US-guided FNAB is useful in the preoperative staging of disease in selected patients with non-small cell lung cancer.
引用
收藏
页码:239 / 242
页数:4
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