Endobronchial ultrasound-guided transbronchial needle aspiration for the treatment of central airway stenosis caused by a mediastinal cyst.
Central airway stenosis caused by compression due to mediastinal cyst is rare. Direct real-time endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive method for tissue sampling of the mediastinum. Using this new therapeutic modality, the mediastinum can be punctured repeatedly and safely under local anesthesia with real-time guidance. Cystic lesions are easily detectable, and the Doppler mode helps to distinguish the cystic lesion from vascular structures. We herein report a rare case of central airway stenosis caused by mediastinal cyst successfully treated by EBUS-TBNA with no regrowth after 1 year. A total of 80 ml of fluid content was aspirated, resulting in patency of the trachea.
Nakajima
Takahiro
T
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan.
Yasufuku
Kazuhiro
K
Shibuya
Kiyoshi
K
Fujisawa
Takehiko
T
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery*; D044963:Biopsy, Fine-Needle / Q000379:methods*; D001999:Bronchoscopy / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D006801:Humans; D007564:Japan; D008297:Male; D008476:Mediastinal Cyst / Q000000981:diagnostic imaging* / Q000473:pathology; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods