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Mediastinum and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

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Atlas of Fine Needle Aspiration Cytology

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Abstract

Due to the complex anatomy of the mediastinum and its proximity to a number of organs, a variety of neoplastic and nonneoplastic lesions may occur in the mediastinum. The majority of these are accessible via fine-needle aspiration cytology (FNAC). The main indication for FNA in the mediastinum is to distinguish between neoplasm and nonneoplastic conditions and between benign and malignant neoplasm. FNA of the mediastinum has been successfully used for the confirmation of metastasis from different origins. Since the introduction of FNA guided by endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS), its use has rapidly increased in staging of lung carcinoma and in establishing the mediastinal lymph node status in other malignancies. In addition, FNA of the mediastinum has been increasingly accepted as a diagnostic modality in the investigation of primary mediastinal neoplasm.

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Authors and Affiliations

  1. Department of Pathology, Skåne University Hospital, Lund, Sweden

    Henryk A. Domanski & Anna M. Domanski

  2. Department of Pathology and Genetics, University Hospital, Linköping, Sweden

    Nastaran Monsef

  3. Department of Pathology, The Maria Sklodowska-Curie Cancer Center and Institute of Oncology, Warsaw, Poland

    Włodzimierz Olszewski

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  1. Henryk A. Domanski
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    Henryk A. Domanski

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Domanski, H.A., Monsef, N., Domanski, A.M., Olszewski, W. (2019). Mediastinum and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration. In: Domanski, H. (eds) Atlas of Fine Needle Aspiration Cytology. Springer, Cham. https://doi.org/10.1007/978-3-319-76980-6_8

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