Restaging by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration in Patients with Inoperable Advanced Lung Cancer

Masato Shingyoji; Takahiro Nakajima; Hiroki Nishimura; Aki Ishikawa; Meiji Itakura; Sachiko Kaji; Makiko Itami; Toshihiko Iizasa; Hideki Kimura

doi:10.2169/internalmedicine.49.3154

CASE REPORTS

Restaging by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration in Patients with Inoperable Advanced Lung Cancer

Masato Shingyoji, Takahiro Nakajima, Hiroki Nishimura, Aki Ishikawa, Meiji Itakura, Sachiko Kaji, Makiko Itami, Toshihiko Iizasa, Hideki Kimura

Author information

Masato Shingyoji
Department of Thoracic Disease, Chiba Cancer Center
Takahiro Nakajima
Department of Thoracic Disease, Chiba Cancer Center
Hiroki Nishimura
Department of Thoracic Disease, Chiba Cancer Center
Aki Ishikawa
Department of Thoracic Disease, Chiba Cancer Center
Meiji Itakura
Department of Thoracic Disease, Chiba Cancer Center
Sachiko Kaji
Department of Clinical Pathology, Chiba Cancer Center
Makiko Itami
Department of Clinical Pathology, Chiba Cancer Center
Toshihiko Iizasa
Department of Thoracic Disease, Chiba Cancer Center
Hideki Kimura
Department of Thoracic Disease, Chiba Cancer Center

Keywords: computed tomography, endobronchial ultrasound-guided transbronchial needle aspiration, lymph nodes, positron emission tomography, restaging, advanced lung cancer

JOURNAL OPEN ACCESS

2010 Volume 49 Issue 8 Pages 787-790

DOI https://doi.org/10.2169/internalmedicine.49.3154

Details

Abstract

We present two cases of inoperable advanced lung cancer in which the main lesions were mediastinal lymph nodes detected with positive positron emission tomography (PET). Drug therapy was very effective, and post-treatment PET results were negative. Restaging by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed on the mediastinal lymph nodes with a short axis≤10 mm measured by computed tomography (CT). Cancer cells were detected, which helped determine the therapeutic strategy. Re-evaluation of mediastinal lymph nodes using EBUS-TBNA appears to be useful, even among patients with inoperable advanced lung cancer.

Corresponding author

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