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2015 ; 4
(3
): 191-7
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Endobronchial ultrasound-guided transbronchial needle aspiration of pulmonary
artery tumors: A systematic review (with video)
#MMPMID26374576
Harris K
; Modi K
; Kumar A
; Dhillon SS
Endosc Ultrasound
2015[Jul]; 4
(3
): 191-7
PMID26374576
show ga
Convex probe endobronchial ultrasound (CP-EBUS) was originally introduced as a
diagnostic and staging tool for lung cancer and subsequently utilized for
diagnosis of other malignant and benign mediastinal diseases such as melanoma,
lymphoma, and sarcoidosis. More recently, CP-EBUS has been successfully used for
the visualization and diagnosis of pulmonary emboli and other vascular lesions
including primary and metastatic pulmonary artery (PA) tumors. In this review, we
will underline the role of EBUS-guided transbronchial needle aspiration
(EBUS-TBNA) for the diagnosis of pulmonary arterial tumors such as sarcomas and
tumor emboli. We will concisely discuss the clinical applications of EBUS-TBNA
and the types of pulmonary arterial tumors and their different diagnostic
modalities. We searched the Cochrane Library and PubMed from 2004 to 2014 to
provide the most comprehensive review. Only 10 cases of EBUS-TBNA for
intravascular lesions were identified in the literature. Although many cases of
EBUS and EUS-guided transvascular tumor biopsies were described in the
literature, there were no reported cases of endoscopic ultrasound-guided fine
needle aspiration (EUS-FNA) for intravascular tumor biopsies. Except for one
paper, all cases were published as case reports.