A solitary metastatic lung tumor from thyroid papillary carcinoma diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): report of a case.
A solitary metastatic tumor from thyroid papillary carcinoma is rarely diagnosed preoperatively. A 61-year-old woman was referred to us for investigation of a solitary nodule in the right lung field on a chest X-ray, several years after a right hemithyroidectomy for thyroid carcinoma. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of a tumor in the right lower lobe, adjacent to the inferior pulmonary vein, revealed metastasis of thyroid papillary carcinoma. Immunohistochemical examination of histological cores obtained from the EBUS-TBNA proved extremely helpful in confirming the diagnosis. We performed right lower lobectomy with lymph node sampling, and the final pathological diagnosis was papillary carcinoma without lymph node metastasis.
Sakairi
Yuichi
Y
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Yasufuku
Kazuhiro
K
Iyoda
Akira
A
Suzuki
Makoto
M
Nakajima
Takahiro
T
Sekine
Yasuo
Y
Shibuya
Kiyoshi
K
Takahashi
Yoko
Y
Nakatani
Yukio
Y
Fujisawa
Takehiko
T
D001707:Biopsy, Needle / Q000379:methods*; D001999:Bronchoscopy; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D019160:Endosonography / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods