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.
DOI: https://doi.org/10.33314/jnhrc.v16i3.1257

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
DhunganaA., ShresthaP., ShresthaK., ShahS., KarkiP., & UpretiH. C. (2018). Endobronchial Ultrasound Guided Transbronchial Needle Aspiration. Journal of Nepal Health Research Council, 16(3), 351-353. https://doi.org/10.33314/jnhrc.v16i3.1257
Issue
Vol. 16 No. 3 (2018): JNHRC Vol. 16 No. 3 Issue 40 Jul - Sep 2018
Section
Case Report

Copyright (c) 2018 Ashesh Dhungana, Prajowl Shrestha, Kiran Shrestha, Shristi Shah, Pratikchya Karki, Harish Chandra Upreti

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