"Dry" pleural mesothelioma successfully diagnosed on endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA)

Filippo Lococo, Giulio Rossi, Lorenzo Agostini, Angelina Filice, Massimiliano Paci, Cristian Rapicetta, Tommaso Ricchetti, Sara Tenconi, Roberto Piro, Giorgio Sgarbi

Research output: Contribution to journalArticle

Abstract

The acquisition of histologic material is obligatory in order to establish the diagnosis of malignant pleural mesothelioma (MPM). In particular, tissue acquisition in cases of "dry" MPM (focal pleural thickening without pleural effusion or mediastinal lymph node involvement) is usually performed via a thoracoscopic pleural biopsy. In contrast, the techniques for performing echoendoscopic (transbronchial or transesophageal) needle aspiration of pleural lesions have only rarely been reported due to the theoretical limitations of tissue acquisition in such cases. We herein report the first case of "dry" MPM successfully diagnosed via endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in a 73-year-old man presenting with a pleural mass in the right costovertebral recess, adjacent to the carina. The patient underwent radical resection, and a definitive pathological examination confirmed the diagnosis of epithelioid MPM.

Original languageEnglish
Pages (from-to)467-469
Number of pages3
JournalInternal Medicine
Volume53
Issue number5
DOIs
Publication statusPublished - 2014

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Mesothelioma
Needles
Pleural Effusion
Lymph Nodes
Biopsy
Malignant Mesothelioma

Keywords

  • EBUS
  • EBUS-TBNA
  • Pleural mesothelioma

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

Cite this

"Dry" pleural mesothelioma successfully diagnosed on endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA). / Lococo, Filippo; Rossi, Giulio; Agostini, Lorenzo; Filice, Angelina; Paci, Massimiliano; Rapicetta, Cristian; Ricchetti, Tommaso; Tenconi, Sara; Piro, Roberto; Sgarbi, Giorgio.

In: Internal Medicine, Vol. 53, No. 5, 2014, p. 467-469.

Research output: Contribution to journalArticle

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AU - Lococo, Filippo

AU - Rossi, Giulio

AU - Agostini, Lorenzo

AU - Filice, Angelina

AU - Paci, Massimiliano

AU - Rapicetta, Cristian

AU - Ricchetti, Tommaso

AU - Tenconi, Sara

AU - Piro, Roberto

AU - Sgarbi, Giorgio

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AB - The acquisition of histologic material is obligatory in order to establish the diagnosis of malignant pleural mesothelioma (MPM). In particular, tissue acquisition in cases of "dry" MPM (focal pleural thickening without pleural effusion or mediastinal lymph node involvement) is usually performed via a thoracoscopic pleural biopsy. In contrast, the techniques for performing echoendoscopic (transbronchial or transesophageal) needle aspiration of pleural lesions have only rarely been reported due to the theoretical limitations of tissue acquisition in such cases. We herein report the first case of "dry" MPM successfully diagnosed via endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in a 73-year-old man presenting with a pleural mass in the right costovertebral recess, adjacent to the carina. The patient underwent radical resection, and a definitive pathological examination confirmed the diagnosis of epithelioid MPM.

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