title: [Endoscopic techniques in bronchogenic carcinoma. Changes in recent decades].
abstract: A 57-year old woman with arterial hypertension under treatment. She has smoked since she was 18 years old with an accumulated index of 70 years/pack. She was studied in our Respiratory Department due to constitutional syndrome, the X-ray showing an image of focal pulmonary lesion in the right upper lobe of more than 3cm of peripheral location. The computed tomography (CT) scan confirmed the existence of a 3.3cm mass in the upper right lobe and detected paratracheal and subcarinal mediastinal abnormal lymph nodes. A subsequent Positron Emission Tomography (PET) confirmed pathological uptake of the mass and both lymph node locations. Which additional studies do you consider to be indicated for a correct diagnosis and mediastinal staging? Do bronchoscopy techniques alone establish the final diagnosis and staging of this patient?
authors.affiliation: Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España. rglujan@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: García Luján
authors.forename: M D
authors.initials: MD
authors.lastname: Hisado Díaz
authors.forename: E
authors.initials: E
authors.lastname: Miguel Poch
authors.forename: J
authors.initials: J
authors.lastname: Alfaro Abreu
mesh_terms: D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D013997:Time Factors