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- Title
Transoesophageal bronchoscopic ultrasound-guided fine-needle aspiration (EUS-B-FNA) for left adrenal gland (LAG) sampling: A report of three cases with a review of the literature.
- Authors
Vadala, Rohit; Mittal, Saurabh; Nambirajan, Aruna; Hadda, Vijay; Mohan, Anant; Guleria, Randeep; Madan, Karan
- Abstract
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a standard-of-care modality for evaluating mediastinal lymph nodes and masses. The EBUS bronchoscope may also be introduced through the oesophageal route to perform sampling of accessible lesions, a technique described as transoesophageal bronchoscopic ultrasound-guided fine-needle aspiration (EUS-B-FNA). Because of the central oesophageal approach, EUS-B-FNA provides easy access to the left para-tracheal, subcarinal and para-oesophageal lymph nodes. In addition, the left adrenal gland (LAG) can also be imaged and sampled during the EUS-B-FNA procedure. In patients with suspected lung cancer, accurate staging is essential. Adrenal metastasis is relatively common and may often be a solitary metastatic site. We describe three cases where EUS-B-FNA was performed to safely sample the enlarged LAG in suspected lung cancer. We also review the literature on the performance characteristics of EUS-B-FNA for LAG aspiration.
- Subjects
LITERATURE reviews; ADRENAL glands; NEEDLE biopsy; LUNG cancer; LYMPH nodes
- Publication
Lung India, 2023, Vol 40, Issue 6, p550
- ISSN
0970-2113
- Publication type
Article
- DOI
10.4103/lungindia.lungindia_381_22