Endosonographically directed transesophageal fine needle aspiration in diagnosis of mediastinal para-esophageal space-occupying processes

Endoscopic ultrasonography with high-frequency ultrasonic beams allows detailed study of the gastrointestinal wall structures and the surrounding Tissues. Moreover most echoendoscopes carry a biopsy channel for biopsy or cytologic puncture guided by endoscopic ultrasonography. We present a patient w...

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Bibliographic Details
Published inUltraschall in der Medizin Vol. 13; no. 6; p. 289
Main Authors Wegener, M, Adamek, R J, Wedmann, B
Format Journal Article
LanguageGerman
Published Germany 01.12.1992
Subjects
Aged
Biopsy, Needle - instrumentation
Carcinoma, Small Cell - diagnostic imaging
Carcinoma, Small Cell - pathology
Diagnosis, Differential
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Esophagus - diagnostic imaging
Esophagus - pathology
Humans
Lung - diagnostic imaging
Lung - pathology
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Male
Ultrasonography - instrumentation
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Summary:Endoscopic ultrasonography with high-frequency ultrasonic beams allows detailed study of the gastrointestinal wall structures and the surrounding Tissues. Moreover most echoendoscopes carry a biopsy channel for biopsy or cytologic puncture guided by endoscopic ultrasonography. We present a patient with a tumor in the posterior mediastinum in whom conventional diagnostic techniques failed to obtain speciments for cytologic evaluation. Transesophageal fine needle aspiration guided by endoscopic ultrasonography confirmed the diagnosis of lung cancer consisting of adeno and small cells in this patient. Transesophageal fine needle puncture guided by endoscopic ultrasonography might become a valuable aid for the diagnosis of tumor masses in the posterior mediastinum.
ISSN:0172-4614
1438-8782