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Purulent Appearing Material in an Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of Mediastinal Lymph Node: A Diagnostic Challenge
Joint Authors
Pena, Damaris
Venkatram, Sindhaghatta
Diaz-Fuentes, Gilda
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-19
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has increasingly been performed for the diagnosis and staging of thoracic malignancies.
Findings of a necrotic lymph node raise concern for infectious process and malignancy.
A hypoechoic area on ultrasound/EBUS within a lymph node without blood flow is suggestive of pathologies like infections or malignancy.
Inspection of the fluid could suggest a diagnosis; clear aspirates usually suggest bronchogenic or mediastinal cysts and purulent material suggests abscesses or necrotic lymph nodes.
Growing tumor cells require a blood supply; if the vascular stroma is insufficient due to rapidly growing malignant tumors this could lead to large central areas of ischemic necrosis.
Necrotic aspiration of lymph nodes is not always of infectious etiology.
Aspiration of fluid in EBUS-TBNA is a rare occurrence, and malignancy should be considered when purulent fluid material is obtained.
We present an elderly woman who underwent bronchoscopy with EBUS-TBNA for evaluation of upper lung nodule and mediastinal lymphadenopathy.
Pus-like material was obtained on needle aspiration and endobronchial biopsy and mediastinal core biopsy revealed squamous cell carcinoma.
American Psychological Association (APA)
Pena, Damaris& Diaz-Fuentes, Gilda& Venkatram, Sindhaghatta. 2017. Purulent Appearing Material in an Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of Mediastinal Lymph Node: A Diagnostic Challenge. Case Reports in Pulmonology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149695
Modern Language Association (MLA)
Pena, Damaris…[et al.]. Purulent Appearing Material in an Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of Mediastinal Lymph Node: A Diagnostic Challenge. Case Reports in Pulmonology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1149695
American Medical Association (AMA)
Pena, Damaris& Diaz-Fuentes, Gilda& Venkatram, Sindhaghatta. Purulent Appearing Material in an Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of Mediastinal Lymph Node: A Diagnostic Challenge. Case Reports in Pulmonology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149695
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149695