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Eus-fna mediastinal

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https://www.readbyqxmd.com/read/27860078/pulmonologist-performed-transoesophageal-sampling-for-lung-cancer-staging-using-an-endobronchial-ultrasound-videobronchoscope-an-australian-experience
#1
Hari Wimaleswaran, Michael W Farmer, Louis B Irving, Barton R Jennings, Daniel P Steinfort
BACKGROUND: Transoesophageal endobronchial ultrasound (EBUS) video-bronchoscope insertion provides pulmonologists access to conduct endoscopic fine-needle aspiration (EUS-B-FNA) of mediastinal lymph node (LN) lesions and also assist in lung cancer staging by sampling left adrenal gland (LAG) lesions. Limited literature have described additional diagnostic value, whilst maintaining patient safety. METHODS: All eligible patients with paraoesophageal lesions on thoracic computed tomography (CT) underwent pulmonologist-performed EUS-B-FNA at two tertiary centres and were included in this prospective observational cohort study...
November 16, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27446324/role-of-endoscopic-ultrasound-guided-fine-needle-aspiration-in-the-diagnosis-of-mass-lesions
#2
Chaoqun Han, Rong Lin, Qin Zhang, Jun Liu, Zhen Ding, Xiaohua Hou
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is an accurate technique for sampling the pancreas and mediastinum; however, limited data are available for other mass lesions. The aim of this study was to explore the value of EUS-FNA in the differential diagnosis of all mass lesions. Data from patients who underwent EUS-FNA for the diagnosis of mass lesions, including pancreatic, mediastinal, celiac and retroperitoneal lesions were retrospectively analyzed. The accuracy was calculated by comparing the results of FNA with the results of pathological examination or follow-up surveillances in non-operated cases...
August 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27427262/choose-the-best-route-ultrasound-guided-transbronchial-and-transesophageal-needle-aspiration-with-echobronchoscope-in-the-diagnosis-of-mediastinal-and-pulmonary-lesions
#3
M Mondoni, A D'Adda, S Terraneo, P Carlucci, D Radovanovic, F DI Marco, P Santus
Nodal mediastinal staging is a crucial part of the diagnostic workup of patients with non-small-cell lung cancer (NSCLC) for planning optimal treatment. Transesophageal endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and real-time endobronchial ultrasounds transbronchial needle aspiration (EBUS-TBNA) are accurate, minimally invasive and safe diagnostic techniques for mediastinal staging. Because of the different accessibility to the mediastinum, they are considered complementary and their combination increases the diagnostic yield as compared with the either alone...
October 2015: Minerva Medica
https://www.readbyqxmd.com/read/27386480/thymic-carcinoma-diagnosed-by-using-endoscopic-ultrasound-with-fine-needle-aspiration
#4
Pragnesh Patel, Julie Guider, Erik Rahimi, Sushovan Guha, Songlin Zhang, Nirav Thosani
There is a paucity of literature on the use of endoscopic ultrasound (EUS) for evaluating superior mediastinal structures, especially the thymus gland. We report a case of thymic carcinoma diagnosed by using EUS elastography with strain ratio and fine-needle aspiration (FNA). A 64-year-old woman presented with altered mental status and was diagnosed with autoimmune encephalitis. Further work-up suggested a superior mediastinal mass, for which she underwent EUS. A hypoechoic mass was found in the superior mediastinum at the level of the aortic arch...
May 2016: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/27385142/esophageal-wall-rupture-after-eus-fna-for-mediastinal-staging-report-of-two-cases
#5
Vincent Ceuterick, Herbert Decaluwé, Willy Coosemans, Philippe Nafteux, Hans Van Veer, Dirk Van Raemdonck, Paul De Leyn
Esophageal wall rupture after EUS-FNA for mediastinal staging is a severe complication. Here we describe the management of two patients with esophageal wall rupture and the presence of empyema. Management was in both cases surgical and consisted of a decortication via thoracotomy. Postoperative IV antibiotics and parenteral nutrition were continued until the first negative X-ray with gastrografin. Both patients recovered and left the hospital in good condition and with oral intake.
February 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27150855/the-utility-of-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-in-patients-with-small-cell-lung-cancer
#6
Hyung Koo Kang, Sang-Won Um, Byeong-Ho Jeong, Kyung Jong Lee, Hojoong Kim, O Jung Kwon, Joungho Han
Objective Most small-cell lung cancers (SCLCs) are located within the central aspect of the chest and manifest as a mediastinal or hilar lymphadenopathy. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) makes it possible to perform mediastinal and hilar nodal examinations. The purpose of this study was to evaluate the performance of EBUS-TBNA in the diagnosis of SCLC. Methods The diagnostic performances of EBUS-TBNA and/or transesophageal bronchoscopic ultrasound-guided fine-needle aspiration (EUS-FNA-B/E) were calculated using the standard definitions...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27142997/a-multicenter-study-on-the-utility-and-safety-of-ebus-tbna-and-eus-b-fna-in-children
#7
Sahajal Dhooria, Karan Madan, Vallandramam Pattabhiraman, Inderpaul Singh Sehgal, Ravindra Mehta, Gella Vishwanath, Arjun Srinivasan, Mahadevan Sivaramakrishnan, Anant Mohan, Joseph L Mathew, Sushil K Kabra, Randeep Guleria, Digambar Behera, Ritesh Agarwal
BACKGROUND AND AIM: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound with an echobronchoscope-guided fine needle aspiration (EUS-B-FNA) are useful modalities in the evaluation of mediastinal lymphadenopathy in adults; however, there is sparse data in children. The aim of this multicenter study is to describe the efficacy and safety of EBUS-TBNA and EUS-B-FNA in children with mediastinal lymphadenopathy of undefined etiology. METHODS: Retrospective analysis of consecutive pediatric (<18 years) subjects who underwent EBUS-TBNA or EUS-B-FNA for the evaluation of mediastinal lymphadenopathy...
May 3, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27071386/comparing-endoscopic-ultrasound-eus-guided-fine-needle-aspiration-fna-versus-fine-needle-biopsy-fnb-in-the-diagnosis-of-solid-lesions-study-protocol-for-a-randomized-controlled-trial
#8
Jinlin Wang, Xiaoli Wu, Ping Yin, Qiaozhen Guo, Wei Hou, Yawen Li, Yun Wang, Bin Cheng
BACKGROUND: Linear endoscopic ultrasonography (EUS) allows the visualization, identification, and characterization of the extent of lesions of the gastrointestinal (GI) tract and adjacent structures. EUS-guided fine-needle aspiration (EUS-FNA) facilitates a more accurate diagnosis of mediastinal, intra-abdominal, and pancreatic lesions through the collection of the cytological material under direct visualization. Recent reports suggest that histological samples can be obtained by EUS-FNA with a reverse, bevel-tipped needle (the ProCore needle) to collect the core samples (fine needle biopsy, FNB), thereby adding a new dimension to the diagnostic usefulness of this technique...
2016: Trials
https://www.readbyqxmd.com/read/26989819/linear-endobronchial-and-endoesophageal-ultrasound-a-practice-change-in-thoracic-medicine
#9
REVIEW
Peter I Bonta, Laurence Crombag, Jouke T Annema
PURPOSE OF REVIEW: Linear endosonography, including intrathoracic lymph nodal sampling by endobronchial ultrasound with transbronchial needle aspiration (EBUS-TBNA) and endoesophageal ultrasound fine-needle aspiration (EUS-FNA), has an important role in the diagnosing and staging of lung cancer. Furthermore, endosonography is applied in the mediastinal evaluation of sarcoidosis, lymphoma, cysts, and nodal metastases of extrathoracic malignancies. Endosonography-related complications as well as sedation and training strategies are discussed...
May 2016: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/26930053/left-adrenal-gland-analysis-in-lung-cancer-patients-using-the-endobronchial-ultrasound-scope-a-feasibility-trial
#10
Laurence M M J Crombag, Jouke T Annema
BACKGROUND: In lung cancer patients, the adrenal glands are predilection sites for distant metastases. Esophageal endoscopic ultrasound - fine-needle aspiration (EUS-FNA) is a minimally invasive and accurate method for left adrenal gland (LAG) analysis but requires a conventional gastrointestinal echoendoscope. Complete endobronchial and esophageal mediastinal nodal staging can be achieved by just a single endobronchial ultrasound (EBUS) scope, introducing it into the esophagus (EUS-B) following the endobronchial procedure...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/26879169/pulmonary-aspergillosis-diagnosed-by-endoscopic-ultrasound-fine-needle-aspiration
#11
Eduardo Rodrigues-Pinto, Susana Lopes, Fernando Principe, Jennifer Costa, Guilherme Macedo
Pulmonary aspergillosis generally occurs in patients with prolonged neutropenia or immunosupression. Definitive diagnosis depends on the demonstration of the organism in tissue, as positive culture result from sputum, needle biopsy, or bronchoalveolar lavage fluid. Even though endoscopic ultrasound (EUS) fine needle aspiration (FNA) of paraesophageal/mediastinal lesions has been used numerous times, this is the first case that reports an aspergilloma diagnosed by EUS-FNA, allowing us to reach a definitive diagnosis...
January 2016: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/26623120/ultrasound-techniques-in-the-evaluation-of-the-mediastinum-part-2-mediastinal-lymph-node-anatomy-and-diagnostic-reach-of-ultrasound-techniques-clinical-work-up-of-neoplastic-and-inflammatory-mediastinal-lymphadenopathy-using-ultrasound-techniques-and-how-to
#12
REVIEW
Christian Jenssen, Jouke Tabe Annema, Paul Clementsen, Xin-Wu Cui, Mathias Maximilian Borst, Christoph Frank Dietrich
Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node (MLN) staging affects the management of patients with both operable and inoperable lung cancer (e.g., surgery vs. combined chemoradiation therapy). Tissue sampling is often indicated for accurate nodal staging. Recent international lung cancer staging guidelines clearly state that endosonography should be the initial tissue sampling test over surgical staging...
October 2015: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26583285/choose-the-best-route-ultrasound-guided-transbronchial-and-transesophageal-needle-aspiration-with-echobronchoscope-in-the-diagnosis-of-mediastinal-and-pulmonary-lesions
#13
M Mondoni, A D'adda, S Terraneo, P Carlucci, D Radovanovic, F Di Marco, P Santus
Nodal mediastinal staging is a crucial part of the diagnostic workup of patients with nonsmall- cell lung cancer (NSCLC) for planning optimal treatment. Transesophageal endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and real-time endobronchial ultrasounds transbronchial needle aspiration (EBUS-TBNA) are accurate, minimally invasive and safe diagnostic techniques for mediastinal staging. Because of the different accessibility to the mediastinum, they are considered complementary and their combination increases the diagnostic yield as compared with the either alone...
November 19, 2015: Minerva Medica
https://www.readbyqxmd.com/read/26543620/ultrasound-techniques-in-the-evaluation-of-the-mediastinum-part-i-endoscopic-ultrasound-eus-endobronchial-ultrasound-ebus-and-transcutaneous-mediastinal-ultrasound-tmus-introduction-into-ultrasound-techniques
#14
REVIEW
Christoph Frank Dietrich, Jouke Tabe Annema, Paul Clementsen, Xin Wu Cui, Mathias Maximilian Borst, Christian Jenssen
Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node staging affects the management of patients with both operable and inoperable lung cancer (e.g., surgery vs. combined chemoradiation therapy). Tissue sampling is often indicated for accurate nodal staging. Recent international lung cancer staging guidelines clearly state that endosonography (EUS and EBUS) should be the initial tissue sampling test over surgical staging...
September 2015: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26374576/endobronchial-ultrasound-guided-transbronchial-needle-aspiration-of-pulmonary-artery-tumors-a-systematic-review-with-video
#15
Kassem Harris, Kush Modi, Abhishek Kumar, Samjot Singh Dhillon
Convex probe endobronchial ultrasound (CP-EBUS) was originally introduced as a diagnostic and staging tool for lung cancer and subsequently utilized for diagnosis of other malignant and benign mediastinal diseases such as melanoma, lymphoma, and sarcoidosis. More recently, CP-EBUS has been successfully used for the visualization and diagnosis of pulmonary emboli and other vascular lesions including primary and metastatic pulmonary artery (PA) tumors. In this review, we will underline the role of EBUS-guided transbronchial needle aspiration (EBUS-TBNA) for the diagnosis of pulmonary arterial tumors such as sarcomas and tumor emboli...
July 2015: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/26357674/endosonography-for-mediastinal-disease-esophageal-ultrasound-vs-endobronchial-ultrasound
#16
Nikhil Meena, Thaddeus Bartter
BACKGROUND AND STUDY AIMS: One can approach mediastinal pathology via esophageal ultrasound (EUS) and/or endobronchial ultrasound (EBUS). It has been suggested that EUS is better tolerated by patients. If so, EUS might be the procedure of choice when suspect lesions are accessible via EUS. We studied procedural characteristics of EUS with fine needle aspiration (EUS-FNA) and EBUS with transbronchial needle aspiration (EBUS-TBNA) to see how they differed. PATIENTS AND METHODS: Retrospective review of consecutive EBUS and EUS procedures performed on patients over nine months...
August 2015: Endoscopy International Open
https://www.readbyqxmd.com/read/26229257/disseminated-histoplasmosis-in-an-immunocompetent-haweli-dweller-a-diagnosis-and-follow-up-by-endoscopic-ultrasound-guided-fine-needle-aspiration
#17
Ruth Shifa Ecka, Malay Sharma, Veerottam Tomar
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is nowadays widespread minimally invasive procedure for diagnosing a large number of benign as well as malignant lesions. We report a case of a 62-year-old immunocompetent elderly male, who presented with high-grade fever, hepatosplenomegaly and mediastinal and intra-abdominal lymph nodes. He was residing in an old haweli with bats infestation. EUS-FNA of the subcarinal and the preaortic lymph node clinched the diagnosis. A rapid on-site evaluation of the cytology material revealed organisms conforming to the morphology of Histoplasma capsulatum...
April 2015: Journal of Cytology
https://www.readbyqxmd.com/read/26030890/combined-endobronchial-and-esophageal-endosonography-for-the-diagnosis-and-staging-of-lung-cancer-european-society-of-gastrointestinal-endoscopy-esge-guideline-in-cooperation-with-the-european-respiratory-society-ers-and-the-european-society-of-thoracic-surgeons
#18
Peter Vilmann, Paul Frost Clementsen, Sara Colella, Mette Siemsen, Paul De Leyn, Jean-Marc Dumonceau, Felix J Herth, Alberto Larghi, Enrique Vazquez-Sequeiros, Enrique Vasquez-Sequeiros, Cesare Hassan, Laurence Crombag, Daniël A Korevaar, Lars Konge, Jouke T Annema
This is an official guideline of the European Society of Gastrointestinal Endoscopy (ESGE), produced in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS). It addresses the benefit and burden associated with combined endobronchial and esophageal mediastinal nodal staging of lung cancer. The Scottish Intercollegiate Guidelines Network (SIGN) approach was adopted to define the strength of recommendations and the quality of evidence.The article has been co-published with permission in the European Journal of Cardio-Thoracic Surgery and the European Respiratory Journal...
June 2015: Endoscopy
https://www.readbyqxmd.com/read/26011232/impact-of-endoscopic-ultrasound-guided-fine-needle-aspiration-and-multidisciplinary-approach-in-the-management-of-abdominal-or-mediastinal-mass
#19
Giovanna Del Vecchio Blanco, Manuela Coppola, Elena Mannisi, Gerolamo Bevivino, Vincenzo Formica, Ilaria Portarena, Samanta Romeo, Pierpaolo Sileri, Mario Roselli, Francesco Pallone, Omero Alessandro Paoluzi
BACKGROUND: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a useful tool for the diagnosis of suspected abdominal or mediastinal neoplastic lesions. AIM: To evaluate the impact of EUS-FNA and multidisciplinary approach on the diagnostic work-up and therapeutic management of patients with abdominal or mediastinal neoplastic lesions. PATIENTS AND METHODS: One hundred and twenty patients (69 men, median age 65 years) with a suspected abdominal or mediastinal neoplastic mass at computed tomography or MRI underwent EUS-FNA...
September 2015: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/25979815/endosonography-related-mortality-and-morbidity-for-pulmonary-indications-a-nationwide-survey-in-the-netherlands
#20
Martin B von Bartheld, Jouke T Annema
BACKGROUND: Endosonography is being implemented rapidly in pulmonary medicine for the diagnosis and staging of lung cancer, the assessment of sarcoidosis, and the assessment of mediastinal lesions. Although serious adverse events (SAEs) have been described, safety data outside cohort studies are scarce. OBJECTIVE: To assess the SAE and mortality rate of EUS-guided FNA (EUS-FNA) and endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal and/or hilar analysis...
December 2015: Gastrointestinal Endoscopy
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