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 |
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초음파 기관지경 침 흡인술로 진단된 신세포암의 종격동 림프절 전이 1예 |
이송주, 이규진, 정현주, 장태원, 허 방, 최익수 |
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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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