New-Onset Malignant Pleural Effusion after Abscess Formation of a Subcarinal Lymph Node Associated with Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 188-192, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-200942
ABSTRACT
We present a case of an unusual infectious complication of a ruptured mediastinal abscess after endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), which led to malignant pleural effusion in a patient with stage IIIA non-small-cell lung cancer. EBUS-TBNA was performed in a 48-year-old previously healthy male, and a mediastinal abscess developed at 4 days post-procedure. Video-assisted thoracoscopic surgery was performed for debridement and drainage, and the intraoperative findings revealed a large volume pleural effusion that was not detected on the initial radiographic evaluation. Malignant cells were unexpectedly detected in the aspirated pleural fluid, which was possibly due to increased pleural permeability and transport of malignant cells originating in a ruptured subcarinal lymph node from the mediastinum to the pleural space. Hence, the patient was confirmed to have squamous cell lung carcinoma with malignant pleural effusion and his TNM staging was changed from stage IIIA to IV.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Permeabilidad
/
Derrame Pleural
/
Drenaje
/
Derrame Pleural Maligno
/
Cirugía Torácica Asistida por Video
/
Desbridamiento
/
Absceso
/
Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico
/
Pulmón
/
Neoplasias Pulmonares
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Tuberculosis and Respiratory Diseases
Año:
2014
Tipo del documento:
Artículo
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