A case report on expanding horizon of endobronchial ultrasound through esophagus

  • Mario Tamburrini | mario.tamburrini@aas5.sanita.fvg.it Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy. https://orcid.org/0000-0002-3655-0069
  • Parikshit Thakare Department of Pulmonary Medicine, TNMC and BYL Nair Ch Hospital, Mumbai, India. https://orcid.org/0000-0003-1001-8645
  • Francesca Zampieri Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Angelo Scarda Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Alessandra Di Paolo Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Giancarlo De Leo Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Enrico Gianfagna Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Lucia Vietri Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy.
  • Umberto Zuccon Department of Internal and Specialist Medicine, Pneumology Unit, Friuli Venezia Giulia Health Authority Hospital of Pordenone, Italy. https://orcid.org/0000-0001-7838-0208

Abstract

Endobronchial ultrasound has revolutionized the field of bronchoscopy and has become one of the most important tools for the diagnosis of intrathoracic lymphadenopathy and para-bronchial structures. The reach of this technique has not been limited to these structures and pleural lesions have been at times accessible. To our knowledge, pleural fluid collections have not been accessed with endobronchial ultrasound (EBUS) through oesophageal approach and rationale behind using this approach. We report a case of 70 years old man who has been referred from physician for the EBUS in view of hilar mass with mediastinal lymphadenopathy with pleural effusion. The endobronchial ultrasound through oesophagus (EUS-B) was done for thoracocentesis and lymph node cytology evaluation and ultimately endobronchial biopsy of hilar mass was done as rapid on-site (ROSE) analysis of lymph node was suggestive of necrotic tissue. The cytology report of lymph node and pleural effusion was positive for malignant cells. The final diagnosis was metastatic poorly differentiating adeno-squamous carcinoma.

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Published
2020-07-21
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Section
Pneumology - Case Reports
Keywords:
lymphadenopathy, endobronchial ultrasound through esophagus (EUS-B), thoracocentesis
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How to Cite
Tamburrini, M., Thakare, P., Zampieri, F., Scarda, A., Di Paolo, A., De Leo, G., Gianfagna, E., Vietri, L., & Zuccon, U. (2020). A case report on expanding horizon of endobronchial ultrasound through esophagus. Monaldi Archives for Chest Disease, 90(3). https://doi.org/10.4081/monaldi.2020.1274