title: False-positive transcarinal needle aspirate in the evaluation of bronchogenic carcinoma.
abstract: Advances in the staging of regional mediastinal lymph node metastases from lung carcinoma include transcarinal needle aspiration. However, since most clinicians feel that documented tumor involvement of subcarinal nodes is a strong contraindication to aggressive surgical resection, a falsely positive carinal aspirate could deny a patient potentially curative resectional surgery. Herein, we present a case of a falsely positive transcarinal needle aspirate in which resectional surgery was carried out with a subsequent 34-month disease-free state.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, University of California School of Medicine, San Diego.
authors.forename: B W
authors.initials: BW
authors.lastname: Carlin
authors.forename: J H
authors.initials: JH
authors.lastname: Harrell
authors.forename: P F
authors.initials: PF
authors.lastname: Fedullo
mesh_terms: D001707:Biopsy, Needle; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D011859:Radiography