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Diagnosis of lymph node metastasis by endobronchial ultrasound-guided transbronchial needle aspiration more than 1 year after lung cancer resection: Report of a case

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Abstract

The usefulness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for lymph node staging of lung cancer is well known; however, its utility for the diagnosis of postoperative recurrence remains unclear. Establishing a pathological diagnosis of postoperative intrathoracic recurrence of lung cancer is very difficult because of the anatomical changes that occur after resection. Computed tomography (CT) and/or positron emission tomography (PET) have limitations, as they provide nonpathological information. We report a case of postoperative lymph node recurrence successfully diagnosed using EBUS-TBNA. Repeated EBUS-TBNA also allowed us to evaluate the effectiveness of chemotherapy and radiotherapy, and to follow the patient’s clinical course. We report this case to show the usefulness of EBUS-TBNA for making clinical decisions in the management of patients with postoperative recurrence of lung cancer.

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Sakairi, Y., Nakajima, T., Iizasa, T. et al. Diagnosis of lymph node metastasis by endobronchial ultrasound-guided transbronchial needle aspiration more than 1 year after lung cancer resection: Report of a case. Surg Today 41, 983–985 (2011). https://doi.org/10.1007/s00595-010-4375-0

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  • DOI: https://doi.org/10.1007/s00595-010-4375-0

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