title: Diagnosis of lymph node metastasis by endobronchial ultrasound-guided transbronchial needle aspiration more than 1 year after lung cancer resection: report of a case.
abstract: The usefulness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for lymph node staging of lung cancer is well known; however, its utility for the diagnosis of postoperative recurrence remains unclear. Establishing a pathological diagnosis of postoperative intrathoracic recurrence of lung cancer is very difficult because of the anatomical changes that occur after resection. Computed tomography (CT) and/or positron emission tomography (PET) have limitations, as they provide nonpathological information. We report a case of postoperative lymph node recurrence successfully diagnosed using EBUS-TBNA. Repeated EBUS-TBNA also allowed us to evaluate the effectiveness of chemotherapy and radiotherapy, and to follow the patient's clinical course. We report this case to show the usefulness of EBUS-TBNA for making clinical decisions in the management of patients with postoperative recurrence of lung cancer.
authors: Division of Thoracic Diseases, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, Chiba, 260-8717, Japan.
authors: Yuichi
authors: Y
authors: Sakairi
authors: Takahiro
authors: T
authors: Nakajima
authors: Toshihiko
authors: T
authors: Iizasa
authors: Makiko
authors: M
authors: Itami
authors: Ichiro
authors: I
authors: Yoshino
authors: Hideki
authors: H
authors: Kimura
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle / Q000295:instrumentation*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000473:pathology*; D008297:Male; D009367:Neoplasm Staging; D021701:Sentinel Lymph Node Biopsy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000295:instrumentation* / Q000379:methods