EUS-B for suspected left adrenal metastasis in lung cancer

被引:18
作者
Christiansen, Ida Skovgaard [1 ,2 ]
Ahmad, Khaliq [2 ]
Bodtger, Uffe [1 ,2 ,3 ]
Naur, Therese Maria Henriette [2 ,4 ]
Sidhu, Jatinder Singh [2 ]
Nessar, Rafi [1 ]
Salih, Goran Nadir [1 ]
Hoegholm, Asbjorn [2 ]
Annema, Jouke Tabe [5 ]
Clementsen, Paul Frost [1 ,4 ,6 ]
机构
[1] Zealand Univ Hosp, Dept Internal Med, Unit Resp Med, Roskilde, Denmark
[2] Naestved Hosp, Dept Resp Med, Naestved, Denmark
[3] Univ Southern Denmark, Inst Reg Hlth Res, Odense C, Denmark
[4] Univ Copenhagen, CAMES, Rigshosp, Copenhagen, Denmark
[5] Acad Med Ctr, Dept Resp Med, Amsterdam, Netherlands
[6] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
关键词
Lung cancer; endobronchial ultrasound (EBUS); esophageal ultrasound (EUS); EUS-B; left adrenal gland (LAG); FINE-NEEDLE-ASPIRATION; ENDOBRONCHIAL-ULTRASOUND; ESOPHAGEAL ENDOSONOGRAPHY; EUROPEAN-SOCIETY; GLAND ANALYSIS; BRONCHOSCOPE; MEDIASTINUM; DIAGNOSIS; EBUS;
D O I
10.21037/jtd.2020.01.43
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Several studies have reported the efficacy of esophageal ultrasound-guided fine needle aspiration (EUS-FIFA) for the detection of metastases in the left adrenal gland (LAG) in patients with lung cancer. Currently we have only limited evidence based on small studies on the usefulness of EUS-B [endobronchial ultrasound (EBUS) scope into the esophagus] to provide tissue proof of suspected LAG metastases. The objectives of this study are to investigate feasibility, safety and diagnostic yield of EUS-BFNA in LAG analysis in patients with proven or suspected lung cancer. Methods: In two Danish hospitals, a systematic search in the electronic database for patients who underwent EUS-B-FNA of the LAG for suspected or proven lung cancer was performed retrospectively between January 1st, 2015 and December 31st, 2017. Computed tomography (CT), positron emission tomography-CT, endoscopy, pathology and follow-up data were acquired. Results: One hundred and thirty-five patients were included; the prevalence of biopsy proven LAG malignancy was 30% (40/135). A total of 87% (117/135) of EUS-B-FNA samples were adequate (i.e., containing adrenal or malignant cells). No complications were observed. Conclusions: We present the largest cohort of patients ever reported showing that EUS-B-FNA of the LAG is a safe and feasible procedure and should therefore be used for staging purposes in patients with lung cancer and a suspicious LAG.
引用
收藏
页码:258 / 263
页数:6
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