Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

  • Ashesh Dhungana National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Prajowl Shrestha National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Kiran Shrestha National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Shristi Shah National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Pratikchya Karki National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Harish Chandra Upreti National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.

Abstract

Evaluation of mediastinal lymphadenopathy is often challenging. Endobronchial Ultrasound (EBUS) is a novel technique which provides real time sonographic guidance during Transbronchial Needle Aspiration (TBNA) from mediastinal and hilar lesions. A 60-year-old smoker presented with two months history of cough and chest pain on the right side. CT thorax revealed a right upper lobe spiculated mass with paratracheal (Station 4R) and subcarinal (Station 7) lymph nodes. Bronchoscopy did not reveal any endobronchial mass. Since EBUS-TBNA is superior to conventional TBNA for malignant mediastinal node, an EBUS- TBNA was performed from both lymph node stations. . Cytopathology and histopathology revealed non-small cell lung cancer. We hereby report the first use of EBUS-TBNA in Nepal, in a patient with lung cancer and mediastinal lymphadenopathy.
Keywords: Endobronchial ultrasound; lung cancer; mediastinal lymph node; transbronchial needle aspiration.

Published
2018-10-30
How to Cite
DHUNGANA, Ashesh et al. Endobronchial Ultrasound Guided Transbronchial Needle Aspiration. Journal of Nepal Health Research Council, [S.l.], v. 16, n. 3, p. 351-353, oct. 2018. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1257>. Date accessed: 20 nov. 2018.