Author of

• 20191

  +

  P3.12 - Pulmonology/Endoscopy (ID 728)

  • Event: WCLC 2017
  • Type: Poster Session with Presenters Present
  • Track: Pulmonology/Endoscopy
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/18/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)

  • 24540

    +

    P3.12-004a - The Demonstration of the Possibility of the Mediastinal Mass Diagnosis by Means of the Cryo Biopsy (ID 8814)

    09:30 - 09:30  |  Presenting Author(s): Jaroslaw Pierog
    • Abstract
    • Slides

    Background:
    To demonstrate the possibility of diagnosing centrally located metastases of the lung cancer in the mediastinum by means of laser incision of right main bronchi followed by the cryo probe biopsy.
    
    Method:
    The 50-year–old patient had been admitted to the Thoracic Surgery Department due to mediastinal lymphadenopathy confirmed by computed tomography.He complained dysphagia. No tumors of the lungs were seen in the computed tomography.The standard diagnostic methods to determine the ethiology of the mediastinal mass failed.The primary mediastinal lymphoma was suspected, therefore, it was decided to collect a representative tissue samples of the mediastinal mass .The procedure was performed under general anesthesia. The patient was intubated with the rigid bronchoscope. EBUS confirmed mediastinal mass and transbronchial needle aspiration biopsy was performed to take a cytology sample and mark the place of the laser application in the bronchial tree. The laser incision of the right main bronchi wall was performed with using a flexible bronchoscope. The 1,9 mm cryo probe was introduced through the incision into the mediastinal mass and the representative tissue samples were collected.
    
    Result:
    The small cell lung cancer was confirmed in the EBUS cytology biopsy as well as mediastinal mass tissue saples collected by the cryo probe. The post bronchoscopy course was uneventful. The bronchoscopy performed 7 days after the first procedure revealed the laser incision of the right main bronchi wall healed well.
    
    Conclusion:
    The cryo biopsy of the mediastinal mass tissue is possible and it can be a valuable option to make a diagnosis of the mediastinal mass including lung cancer metastases or lymphomas.
    
    

    Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.