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Eus-fna lung cancer

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https://www.readbyqxmd.com/read/27926910/esophageal-endosonography-for-the-diagnosis-of-intrapulmonary-tumors-a-systematic-review-and-meta-analysis
#1
Daniël A Korevaar, Sara Colella, René Spijker, Patrick M Bossuyt, Lars Konge, Paul Frost Clementsen, Jouke T Annema
BACKGROUND: Biopsy-based diagnosis in patients with paraesophageal intrapulmonary tumors suspected of lung cancer is crucial for adequate treatment planning. OBJECTIVE: To evaluate the performance of transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in the diagnosis of intrapulmonary tumors located near or adjacent to the esophagus. METHODS: We performed a systematic review (PROSPERO, CRD42016033737) and searched MEDLINE, Embase, BIOSIS Previews, and Web of Science on September 22, 2016, without date or language restrictions...
December 8, 2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27860078/pulmonologist-performed-transoesophageal-sampling-for-lung-cancer-staging-using-an-endobronchial-ultrasound-videobronchoscope-an-australian-experience
#2
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/27498937/a-case-report-on-metastatic-pancreatic-tumor-from-pulmonary-adenocarcinoma-that-difficult-to-differentiate-from-primary-pancreatic-ductal-carcinoma
#3
Daisuke Takei, Akihito Okazaki, Tomoyuki Minami, Juri Ikemoto, Naomichi Hirano, Keiji Hanada, Yuji Teraoka, Toshikatsu Fukuda, Shuji Yonehara
A woman was admitted to our department for lung adenocarcinoma and she was treated with left upper lobectomy. The carcinoembryonic antigen level had increased. Enhanced computed tomography showed a hypovascular tumor in the pancreatic tail and in the extension of the distal main pancreatic duct. Endoscopic ultrasonography (EUS) clearly showed a low echoic lesion, and histological examination revealed adenocarcinoma. On immunostaining, the lesion was diagnosed as metastatic adenocarcinoma of the lungs. The patient was treated with chemotherapy for lung cancer and survived for 4 years after diagnosis...
August 2016: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
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
#4
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/27150855/the-utility-of-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-in-patients-with-small-cell-lung-cancer
#5
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/27073657/recurrence-of-renal-cell-carcinoma-diagnosed-using-contralateral-adrenal-biopsy-with-endoscopic-ultrasound-guided-fine-needle-aspiration
#6
Azusa Tanimoto, Shinji Takeuchi, Hiroshi Yaegashi, Hiroshi Kotani, Hidenori Kitai, Shigeki Nanjo, Hiromichi Ebi, Kaname Yamashita, Hisatsugu Mouri, Koushiro Ohtsubo, Hiroko Ikeda, Seiji Yano
A 76-year-old female in whom a renal cell carcinoma (RCC) lesion was resected 19 years previously presented to our hospital with cognitive dysfunction. Magnetic resonance imaging and computed tomography revealed nodules in the brain, lung, adrenal gland and a pelvic osteolytic lesion. To identify the primary cancer site, the present study performed endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of the left adrenal lesion. Consequently, the pathological findings of the tissue obtained by EUS-FNA were similar to those of the previous nephrectomy specimen, revealing that the adrenal lesion was the recurrence of RCC...
April 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/26989819/linear-endobronchial-and-endoesophageal-ultrasound-a-practice-change-in-thoracic-medicine
#7
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
#8
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/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
#9
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
#10
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/26576794/a-case-of-a-pancreatic-tumor-that-was-diagnosed-as-metastasis-from-lung-cancer-by-endoscopic-ultrasound-guided-fine-needle-aspiration
#11
Masakuni Fujii, Kazuhiko Watanabe, Masafumi Kataoka, Soichiro Nose, Junji Shiode
Metastatic tumors are rare in the pancreas, and some cases are difficult to distinguish from pancreatic cancer. However, distinguishing between them is very important to formulate a treatment plan. A case of a rare disease, called overlap cancer, involving metastatic tumors to the pancreas and right kidney from lung cancer, and duodenal papilla cancer, is described. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful for diagnosing metastatic pancreatic tumors, particularly in patients with multiple cancers...
July 2015: Journal of Medical Ultrasonics
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
#12
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
#13
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/26194128/-a-case-of-intra-abdominal-paragonimiasis-mimicking-metastasis-of-lung-cancer-diagnosed-by-endoscopic-ultrasound-guided-fine-needle-aspiration
#14
Cho Rong Oh, Mi Jin Kim, Kwang Hyuck Lee
Paragonimiasis has been continuously decreasing in Korea. However, it still occurs by ingesting raw or incompletely cooked fresh water crab or crayfish. The diagnosis of paragonimiasis is challenging because of its rarity. It may be confused with other inflammatory disease or carcinomatosis. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has lower risk of complications such as bleeding, perforation than percutaneous fine needle aspiration. EUS-FNA is more accurate and popular method to find mucosal or submucosal tumors and the lesions of several organs...
July 2015: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://www.readbyqxmd.com/read/26075124/metastasis-induced-acute-pancreatitis-successfully-treated-with-chemotherapy-and-radiotherapy-in-a-patient-with-small-cell-lung-cancer
#15
Kerem Okutur, Mustafa Bozkurt, Taner Korkmaz, Ercan Karaaslan, Levent Guner, Suha Goksel, Gokhan Demir
Although involvement of pancreas is a common finding in small cell lung cancer (SCLC), metastasis-induced acute pancreatitis (MIAP) is very rare. A 50-year-old female with SCLC who had limited disease and achieved full response after treatment presented with acute pancreatitis during her follow-up. The radiologic studies revealed a small area causing obliteration of the pancreatic duct without mass in the pancreatic neck, and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) confirmed the metastasis of SCLC...
2015: Case Reports in Oncological Medicine
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
#16
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/25979815/endosonography-related-mortality-and-morbidity-for-pulmonary-indications-a-nationwide-survey-in-the-netherlands
#17
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
https://www.readbyqxmd.com/read/25806304/preoperative-mediastinal-lymph-node-staging-for-non-small-cell-lung-cancer-2014-update-of-the-2007-ests-guidelines
#18
REVIEW
Paul De Leyn, Christophe Dooms, Jaroslaw Kuzdzal, Didier Lardinois, Bernward Passlick, Ramon Rami-Porta, Akif Turna, Paul Van Schil, Frederico Venuta, David Waller, Walter Weder, Marcin Zielinski
Accurate preoperative staging and restaging of mediastinal lymph nodes in patients with potentially resectable non-small cell lung cancer (NSCLC) is of paramount importance. In 2007, the European Society of Thoracic Surgeons (ESTS) published an algorithm on preoperative mediastinal staging integrating imaging, endoscopic and surgical techniques. Over the last years more evidence of the different mediastinal staging technique has become available. Therefore, a revision of the ESTS guidelines was needed. In case of CT-enlarged or PET-positive mediastinal lymph nodes, tissue confirmation is indicated...
August 2014: Translational Lung Cancer Research
https://www.readbyqxmd.com/read/25759463/utility-and-safety-of-endoscopic-ultrasound-with-bronchoscope-guided-fine-needle-aspiration-in-mediastinal-lymph-node-sampling-systematic-review-and-meta-analysis
#19
REVIEW
Sahajal Dhooria, Ashutosh N Aggarwal, Dheeraj Gupta, Digambar Behera, Ritesh Agarwal
BACKGROUND: The use of endoscopic ultrasound with bronchoscope-guided fine-needle aspiration (EUS-B-FNA) has been described in the evaluation of mediastinal lymphadenopathy. Herein, we conduct a meta-analysis to estimate the overall diagnostic yield and safety of EUS-B-FNA combined with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), in the diagnosis of mediastinal lymphadenopathy. METHODS: The PubMed and EmBase databases were searched for studies reporting the outcomes of EUS-B-FNA in diagnosis of mediastinal lymphadenopathy...
July 2015: Respiratory Care
https://www.readbyqxmd.com/read/25660225/lung-cancer-diagnosis-and-staging-with-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-compared-with-conventional-approaches-an-open-label-pragmatic-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Neal Navani, Matthew Nankivell, David R Lawrence, Sara Lock, Himender Makker, David R Baldwin, Richard J Stephens, Mahesh K Parmar, Stephen G Spiro, Stephen Morris, Sam M Janes
BACKGROUND: The diagnosis and staging of lung cancer is an important process that identifies treatment options and guides disease prognosis. We aimed to assess endobronchial ultrasound-guided transbronchial needle aspiration as an initial investigation technique for patients with suspected lung cancer. METHODS: In this open-label, multicentre, pragmatic, randomised controlled trial, we recruited patients who had undergone a CT scan and had suspected stage I to IIIA lung cancer, from six UK centres and randomly assigned them to either endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) or conventional diagnosis and staging (CDS), for further investigation and staging...
April 2015: Lancet Respiratory Medicine
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