Skip to main content
SpringerLink
Log in
Book cover

Endoscopic Oncology pp 365–371Cite as

Endoscopic Ultrasound for Thoracic Disease

  • Chapter

  • 835 Accesses

Abstract

The focus of this chapter is to examine the role of endoscopic ultrasound (EUS) in the management of mediastinal lesions. EUS, owing to its diagnostic accuracy, tissue sampling capability, low morbidity, and time and cost savings has become an integral part of the multidisciplinary approach to the imaging and management of thoracic diseases. It is the intent of this chapter to outline the benefit of EUS as an adjunct to modalities such as bronchoscopy, positron emission tomography (PET), and computed tomography (CT) imaging in the evaluation of mediastinal diseases.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Van Dam J, Rice TW, Catalano MF, Kirby T, Sivak MV, Jr. Highgrade malignant stricture is predictive of esophageal tumor stage. Risks of endosonographic evaluation. Cancer 1993; 71:2910–2917.

    Article  PubMed  Google Scholar 

  2. Wallace MB, Hawes RH, Sahai AV, Van Velse A, Hoffman BJ. Dilation of malignant esophageal stenosis to allow EUS guided fineneedle aspiration: safety and effect on patient management. Gastrointest Endosc 2000; 51:309–313.

    Article  PubMed  CAS  Google Scholar 

  3. Pfau PR, Ginsberg GG, Lew RJ, Faigel DO, Smith DB, Kochman ML. Esophageal dilation for endosonographic evaluation of malignant esophageal strictures is safe and effective. Am J Gastroenterol 2000; 95:2813–2815.

    Article  PubMed  CAS  Google Scholar 

  4. Vazquez-Sequeiros E, Wiersema MJ, Clain JE, et al. Impact of lymph node staging on therapy of esophageal carcinoma. Gastroenterology 2003; 125:1626–1635.

    Article  PubMed  Google Scholar 

  5. Romagnuolo J, Scott J, Hawes RH, et al. Helical CT versus EUS with fine needle aspiration for celiac nodal assessment in patients with esophageal cancer. Gastrointest Endosc 2002; 55:648–654.

    Article  PubMed  Google Scholar 

  6. Eloubeidi MA, Wallace MB, Hoffman BJ, et al. Predictors of survival for esophageal cancer patients with and without celiac axis lymphadenopathy: impact of staging endosonography. Ann Thorac Surg 2001; 72:212–219; discussion 219,220.

    Article  PubMed  CAS  Google Scholar 

  7. Rasanen JV, Sihvo EI, Knuuti MJ, et al. Prospective analysis of accuracy of positron emission tomography, computed tomography, and endoscopic ultrasonography in staging of adenocarcinoma of the esophagus and the esophagogastric junction. Ann Surg Oncol 2003; 10:954–960.

    Article  PubMed  Google Scholar 

  8. Wallace MB, Nietert PJ, Earle C, et al. An analysis of multiple staging management strategies for carcinoma of the esophagus: computed tomography, endoscopic ultrasound, positron emission tomography, and thoracoscopy/laparoscopy. Ann Thorac Surg 2002; 74:1026–1032.

    Article  PubMed  Google Scholar 

  9. Fritscher-Ravens A, Bohuslavizki KH, Brandt L, et al. Mediastinal Lymph Node Involvement in Potentially Resectable Lung Cancer: Comparison of CT, Positron Emission Tomography, and Endoscopic Ultrasonography With and Without Fine-Needle Aspiration. Chest 2003; 123:442–451.

    Article  PubMed  Google Scholar 

  10. Gress FG, Savides TJ, Sandler A, et al. Endoscopic ultrasonography, fine-needle aspiration biopsy guided by endoscopic ultrasonography, and computed tomography in the preoperative staging of non-small-cell lung cancer: a comparison study. Ann Intern Med 1997; 127:604–612.

    PubMed  CAS  Google Scholar 

  11. Wallace MB, Silvestri GA, Sahai AV, et al. Endoscopic ultrasound-guided fine needle aspiration for staging patients with carcinoma of the lung. Ann Thorac Surg 2001; 72:1861–1867.

    Article  PubMed  CAS  Google Scholar 

  12. Fritscher-Ravens A, Soehendra N, Schirrow L, et al. Role of transesophageal endosonography-guided fine-needle aspiration in the diagnosis of lung cancer. Chest 2000; 117:339–345.

    Article  PubMed  CAS  Google Scholar 

  13. Laudanski J, Kozlowski M, Niklinski J, Chyczewski L. The preoperative study of mediastinal lymph nodes metastasis in lung cancer by endoscopic ultrasonography (EUS) and helical computed tomography (CT). Lung Cancer 2001; 34Suppl 2:S123–S126.

    Article  PubMed  Google Scholar 

  14. Bhutani MS, Hawes RH, Hoffman BJ. A comparison of the accuracy of echo features during endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration for diagnosis of malignant lymph node invasion. Gastrointest Endosc 1997; 45:474–479.

    Article  PubMed  CAS  Google Scholar 

  15. Schmulewitz N, Wildi SM, Varadarajulu S, et al. Accuracy of EUS criteria and primary tumor site for identification of mediastinal lymph node metastasis from non-small-cell lung cancer. Gastrointest Endosc 2004; 59:205–212.

    Article  PubMed  Google Scholar 

  16. Wallace MB, Ravenel J, Block MI, et al. Endoscopic ultrasound in lung cancer patients with a normal mediastinum on computed tomography. The Annals of Thoracic Surgery 2004; 77:1763–1768.

    Article  PubMed  Google Scholar 

  17. Wallace M, Block M, Gillanders W, et al. Detection of micrometastases in mediastinal lymph nodes in non-small cell lung cancer patients by EUS-FNA and real-time rt PCR. Chest 2003:in press.

    Google Scholar 

  18. Mitas M, Cole DJ, Hoover L, et al. Real-time reverse transcription-PCR detects KS1/4 mRNA in mediastinal lymph nodes from patients with non-small cell lung cancer. Clin Chem 2003; 49:312–315.

    Article  PubMed  CAS  Google Scholar 

  19. Wallace MB, Block M, Hoffman BJ, et al. Detection of telomerase expression in mediastinal lymph nodes of patients with lung cancer. Am J Respir Crit Care Med 2003; 167:1670–1675.

    Article  PubMed  Google Scholar 

  20. Varadarajulu S, Schmulewitz N, Wildi SF, et al. Accuracy of EUS in staging of T4 lung cancer. Gastrointest Endosc 2004; 59:345–348.

    Article  PubMed  Google Scholar 

  21. McConahey WM, Hay ID, Woolner LB, van Heerden JA, Taylor WF. Papillary thyroid cancer treated at the Mayo Clinic, 1946 through 1970: initial manifestations, pathologic findings, therapy, and outcome. Mayo Clin Proc 1986; 61:978–996.

    PubMed  CAS  Google Scholar 

  22. Gillenwater AM, Goepfert H. Surgical management of laryngotracheal and esophageal involvement by locally advanced thyroid cancer. Semin Surg Oncol 1999; 16:19–29.

    Article  PubMed  CAS  Google Scholar 

  23. Koike E, Yamashita H, Noguchi S, et al. Endoscopic ultrasonography in patients with thyroid cancer: its usefulness and limitations for evaluating esophagopharyngeal invasion. Endoscopy 2002; 34:457–460.

    Article  PubMed  CAS  Google Scholar 

  24. Wildi SM, Fickling W, Day T, et al. Endoscopic ultrasound in the diagnosis and staging of neoplasms of the head and neck. Endoscopy 2004; 36:624–630.

    Article  PubMed  CAS  Google Scholar 

  25. Mishra G, Sahai AV, Penman ID, et al. Endoscopic ultrasonography with fine-needle aspiration: an accurate and simple diagnostic modality for sarcoidosis. Endoscopy 1999; 31:377–382.

    Article  PubMed  CAS  Google Scholar 

  26. Wildi SM, Hoda RS, Fickling W, et al. Diagnosis of benign cysts of the mediastinum: the role and risks of EUS and FNA. Gastrointest Endosc 2003; 58:362–368.

    PubMed  Google Scholar 

  27. Larsen SS, Krasnik M, Vilmann P, et al. Endoscopic ultrasound guided biopsy of mediastinal lesions has a major impact on patient management. Thorax 2002; 57:98–103.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL

    Timothy Woodward MD, Massimo Raimondo MD & Michael B. Wallace MD, MPH

Authors
  1. Timothy Woodward MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Massimo Raimondo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael B. Wallace MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Oregon Health and Science University, Portland, OR

    Douglas O. Faigel MD, FACG, FASGE (Associate Professor of Medicine, Director of Endoscopy) (Associate Professor of Medicine, Director of Endoscopy)

  2. Hospital of the University of Pennsylvania, Philadelphia, PA

    Michael L. Kochman MD, FACP, FASGE (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology) (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology)

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Humana Press, Totowa, NJ

About this chapter

Cite this chapter

Woodward, T., Raimondo, M., Wallace, M.B. (2006). Endoscopic Ultrasound for Thoracic Disease. In: Faigel, D.O., Kochman, M.L. (eds) Endoscopic Oncology. Humana Press. https://doi.org/10.1007/978-1-59745-172-7_32

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-172-7_32

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-532-3

  • Online ISBN: 978-1-59745-172-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation