ABSTRACT
Biopsy is required to confirm lymph node (LN) metastasis in position emission tomography (PET)-positive LN due to the low specificity of PET. Currently, invasive surgical techniques such as mediastinoscopy or mediastinotomy are standard procedures for obtaining LN specimen. It would be desirable to have a less invasive way of sampling suspicious LN. Herein, we report a case of successful endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) for the diagnosis of CT-negative and PET-positive LN that was found after curative resection in lung cancer. To the best of our knowledge, this is the first description in Korea to perform EUS-FNA for the evaluation of metastatic LN during the follow-up period after lung cancer resection.
Subject(s)
Humans , Biopsy , Biopsy, Fine-Needle , Diagnosis , Electrons , Endoscopic Ultrasound-Guided Fine Needle Aspiration , Endosonography , Follow-Up Studies , Korea , Lung Neoplasms , Lung , Lymph Nodes , Mediastinoscopy , Neoplasm Metastasis , Sensitivity and SpecificityABSTRACT
Pulmonary aspergillosis may present with three different features, according to the immune status of the host. These forms are invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA) or aspergilloma. Bronchial involvement is an uncommon type of invasive pulmonary aspergillosis. We encountered an unusual case of an endobronchial aspergillosis that completely obstructed the left upper lobe, which was initially thought to be lung cancer. We report this case along with a review of the relevant literature.