Dhungana Ashesh, Shrestha Prajowl, Shrestha Kiran, Shah Shristi, Karki Pratikchya, Upreti Harish Chandra
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Oct 30;16(3):351-353.
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.
评估纵隔淋巴结肿大通常具有挑战性。支气管内超声（EBUS）是一种新技术，在经支气管针吸活检（TBNA）从纵隔和肺门病变取材过程中可提供实时超声引导。一名60岁吸烟者有两个月的咳嗽和右侧胸痛病史。胸部CT显示右上叶有毛刺状肿块，伴有气管旁（4R区）和隆突下（7区）淋巴结。支气管镜检查未发现任何支气管内肿块。由于EBUS-TBNA在诊断恶性纵隔淋巴结方面优于传统TBNA，因此对两个淋巴结部位均进行了EBUS-TBNA。细胞病理学和组织病理学检查显示为非小细胞肺癌。我们在此报告尼泊尔首例将EBUS-TBNA用于一名患有肺癌和纵隔淋巴结肿大患者的情况。关键词：支气管内超声；肺癌；纵隔淋巴结；经支气管针吸活检
