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Digestive Diseases and Sciences

, Volume 53, Issue 3, pp 757–759 | Cite as

Endoscopic Ultrasound-guided Fine Needle Aspiration of a Malignant Pleural Effusion to Diagnose and Stage Lung Cancer: When Should this Approach be Considered?

  • Vanessa M. Shami
  • David R. Jones
  • Alfredo Hernandez
  • Edward B. Stelow
Original Paper
  • 70 Downloads

Introduction

We present a case of “extensive” small cell lung cancer (SCLC) diagnosed and staged by EUS-FNA of a malignant pleural effusion. Sonographic and pathologic features are discussed as well as the current literature on the evolving role of EUS in diagnosing malignant pleural effusions.

Case report

A 77-year-old asymptomatic man with a history of long-term tobacco use was referred for EUS of an enlarged subcarinal lymph node noted on a routine follow-up computerized tomography (CT) (Fig.  1). He had a history of stage IVB squamous cell carcinoma of the right nasal cavity for which he had undergone induction radiation therapy and craniofacial resection in June 2004, as well as a history of stage IA pulmonary adenocarcinoma for which he had undergone a left upper lobectomy in February 2004. The goal of EUS was to obtain diagnostic and staging information. Linear array EUS (GFUC-140P, Olympus America Inc., Melville, NY) failed to reveal an enlarged subcarinal lymph node that had...

Keywords

Pleural Effusion Small Cell Lung Cancer Small Cell Carcinoma Malignant Pleural Effusion Stage Lung Cancer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Vanessa M. Shami
    • 1
  • David R. Jones
    • 2
  • Alfredo Hernandez
    • 1
  • Edward B. Stelow
    • 3
  1. 1.Department of Medicine, Division of GastroenterologyUniversity of Virginia Health SciencesCharlottesvilleUSA
  2. 2.Department of SurgeryUniversity of VirginiaCharlottesvilleUSA
  3. 3.Department of PathologyUniversity of VirginiaCharlottesvilleUSA

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