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Ashesh Dhungana
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
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Prajowl Shrestha
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
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Kiran Shrestha
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
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Shristi Shah
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
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Pratikchya Karki
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
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Harish Chandra Upreti
National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
Abstract
DOI:
https://doi.org/10.3126/jnhrc.v16i3.21437
Evaluation of mediastinal lymphadenopathy is often challenging. Endobronchial Ultrasound (EBUS) is a novel technique which provides real time sonographic guidance during Transbronchial Needle Aspiration (TBNA) from mediastinal and hilar lesions. A 60-year-old smoker presented with two months history of cough and chest pain on the right side. CT thorax revealed a right upper lobe spiculated mass with paratracheal (Station 4R) and subcarinal (Station 7) lymph nodes. Bronchoscopy did not reveal any endobronchial mass. Since EBUS-TBNA is superior to conventional TBNA for malignant mediastinal node, an EBUS- TBNA was performed from both lymph node stations. . Cytopathology and histopathology revealed non-small cell lung cancer. We hereby report the first use of EBUS-TBNA in Nepal, in a patient with lung cancer and mediastinallymphadenopathy.
Keywords: Endobronchial ultrasound, lung cancer, mediastinal lymph node, transbronchial needle aspiration
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