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


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...


Pleural Effusion Small Cell Lung Cancer Small Cell Carcinoma Malignant Pleural Effusion Stage Lung Cancer 
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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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