Korean J Med > Volume 78(1); 2010 > Article
The Korean Journal of Medicine 2010;78(1):117-121.
A case of renal cell carcinoma with mediastinal lymph node metastasis diagnosed by EBUS-TBNA
Song Ju Lee, Gyu Jin Lee, Hyun Joo Jung, Tae Won Jang, Bang Hur, Ik Su Choi
초음파 기관지경 침 흡인술로 진단된 신세포암의 종격동 림프절 전이 1예
이송주, 이규진, 정현주, 장태원, 허 방, 최익수
Abstract
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a new method of sampling mediastinal lymph nodes to aid in diagnosing lymphadenopathy and in staging metastatic cancers. This paper describes a case of renal cell carcinoma with mediastinal and hilar lymph nodes metastasis that was diagnosed using EBUS-TBNA. A 17-year-old woman who had mediastinal lymphadenopathy and a right renal mass underwent imaging studies. The results of a first EBUS-TBNA suggested malignancy, but the type of tumor and exact site of the primary tumor were uncertain. Therefore, we repeated EBUS-TBNA with a lower pressure on the vacuum syringe. We successfully diagnosed the mediastinal lymph node metastasis from renal cell carcinoma. (Korean J Med 78:117-121, 2010)
Key Words: Aspiration biopsy; Clear cell renal carcinoma; Lymphadenopathy; Staging


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