EUS-B-FNA safely enabled adenocarcinoma diagnosis after airway stenting in a case of severe stenosis, minimizing risks associated with transbronchial biopsy.
A 49-year-old man with severe airway stenosis and SVC syndrome
EUS-B-FNA (endoscopic ultrasound with bronchoscope-guided fine needle aspiration) after urgent Y-stent placement
Pathological diagnosis of adenocarcinoma
Transesophageal biopsy (EUS-B-FNA) should be prioritized over transbronchial biopsy in patients with severe airway stenosis to ensure safe diagnosis and avoid fatal obstruction.
ABSTRACT A 49‐year‐old man with severe airway stenosis and SVC syndrome underwent urgent Y‐stent placement before diagnosis. Subsequent EUS‐B‐FNA enabled adenocarcinoma diagnosis. This case highlights that transbronchial biopsy in marked stenosis risks fatal obstruction; thus, transesophageal biopsy should be prioritised to ensure safe diagnosis and genomic testing.
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Shoichiro Arimori
Yuki Takigawa
Ken Sato
Respirology Case Reports
Okayama Medical Center
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Arimori et al. (Thu,) reported a other. EUS-B-FNA safely enabled adenocarcinoma diagnosis after airway stenting in a case of severe stenosis, minimizing risks associated with transbronchial biopsy.
www.synapsesocial.com/papers/696c774feb60fb80d13959cd — DOI: https://doi.org/10.1002/rcr2.70476
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