The role of endoscopic ultrasound in a case of lung cancer with jaundice.
Lung cancer is one of the major causes of death in the world. Small cell carcinoma is the most aggressive type and can spread rapidly. The association of a small cell carcinoma with hepatic hilar metastasis and biliary obstruction is rare. Endoscopic ultrasound allows the aspiration of a cytology sample from adenopathies for diagnostic purpose. We present the case of a patient with lung cancer, with lymph node metastasis to the hepatic hilum and extrinsic biliary tree compression. Endoscopic ultrasound allowed the definitive diagnosis of hepatic hilar metastasis of a lung small cell carcinoma. To the author's knowledge it was the first time that endoscopic ultrasound was used for the diagnosis of hepatic hilar lymph node metastasis of lung cancer.
Department of Gastroenterology, Institute of CUF - ManoPh; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.
Fernando M
FM
Castro-Pocas
Department of Gastroenterology, Santo António Hospital, Porto Hospital Center, Porto, Portugal.
Tarcísio P
TP
Araújo
Department of Pneumology, Hospital de Braga, Braga, Portugal.
Maria L
ML
Ferreira
Department of Gastroenterology, Institute of CUF - ManoPh; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.
Miguel M
MM
Saraiva
Endoscopic ultrasonography; hilar lymph nodes; jaundice; lung cancer; small cell carcinoma