PMID- 35896343
OWN - NLM
STAT- MEDLINE
DCOM- 20220916
LR  - 20221014
IS  - 1759-7714 (Electronic)
IS  - 1759-7706 (Print)
IS  - 1759-7706 (Linking)
VI  - 13
IP  - 18
DP  - 2022 Sep
TI  - Airway stenosis complicated by endobronchial ultrasound-guided tissue 
      acquisition: A case report.
PG  - 2659-2663
LID - 10.1111/1759-7714.14600 [doi]
AB  - Endobronchial ultrasound (EBUS)-guided tissue acquisition (TA) performed by 
      transbronchial needle aspiration (TBNA) is the main diagnostic procedure in 
      mediastinal and hilar lymph node (LN) biopsy. EBUS-guided intranodal forceps 
      biopsy (EBUS-IFB) and EBUS-guided cryobiopsy can achieve higher diagnostic yield 
      of lymphomas, uncommon tumors, and benign diseases. However, these techniques 
      require the creation of a tract to insert biopsy devices, which may result in 
      critical complications. Here, we report a rare case of airway stenosis (AS) that 
      occurred after EBUS-TA for mediastinal LN biopsy. An 80-year-old man had multiple 
      pulmonary nodules and an enlarged mediastinal LN. EBUS-TBNA and EBUS-IFB were 
      performed for histological diagnosis. Cutaneous adnexal carcinoma (CAC) was 
      diagnosed. The patient underwent chemotherapy. Four months later, he was 
      hospitalized for AS due to a tracheal tumor with dyspnea. Chest computed 
      tomography and bronchoscopy revealed that the tracheal tumor was caused by 
      invasion from the biopsied LN into the tracheal lumen by tract seeding (TS) 
      caused by EBUS-TA. Cryotherapy was performed. The tracheal tumor was 
      pathologically consistent with CAC and is currently under control with 
      radiotherapy. TS-associated EBUS-TA is rare but may increase in frequency with 
      aggressive tissue sampling techniques. Bronchoscopists should perform EBUS-TA 
      with awareness of the potentially serious complications.
CI  - (c) 2022 The Authors. Thoracic Cancer published by China Lung Oncology Group and 
      John Wiley & Sons Australia, Ltd.
FAU - Uchimura, Keigo
AU  - Uchimura K
AUID- ORCID: 0000-0001-6379-9583
AD  - Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center 
      Hospital, Tokyo, Japan.
FAU - Furuse, Hideaki
AU  - Furuse H
AD  - Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center 
      Hospital, Tokyo, Japan.
FAU - Imabayashi, Tatsuya
AU  - Imabayashi T
AUID- ORCID: 0000-0002-6343-5306
AD  - Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center 
      Hospital, Tokyo, Japan.
FAU - Matsumoto, Yuji
AU  - Matsumoto Y
AD  - Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center 
      Hospital, Tokyo, Japan.
AD  - Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
FAU - Tsuchida, Takaaki
AU  - Tsuchida T
AD  - Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center 
      Hospital, Tokyo, Japan.
LA  - eng
PT  - Case Reports
PT  - Research Support, Non-U.S. Gov't
DEP - 20220727
PL  - Singapore
TA  - Thorac Cancer
JT  - Thoracic cancer
JID - 101531441
SB  - IM
MH  - Aged, 80 and over
MH  - Biopsy, Fine-Needle/methods
MH  - Bronchoscopy/methods
MH  - Constriction, Pathologic
MH  - Endoscopic Ultrasound-Guided Fine Needle Aspiration/adverse effects/methods
MH  - Humans
MH  - *Lung Neoplasms/pathology
MH  - *Lymphadenopathy/diagnosis
MH  - Male
MH  - Mediastinum/pathology
MH  - *Tracheal Neoplasms
MH  - Ultrasonography, Interventional
PMC - PMC9475229
OTO - NOTNLM
OT  - airway stenosis
OT  - bronchoscopy
OT  - complication
OT  - cryotherapy
OT  - endobronchial ultrasound-guided transbronchial needle aspiration
COIS- The authors declare that they have no competing interests.
EDAT- 2022/07/28 06:00
MHDA- 2022/09/17 06:00
PMCR- 2022/09/01
CRDT- 2022/07/27 21:22
PHST- 2022/07/15 00:00 [revised]
PHST- 2022/07/01 00:00 [received]
PHST- 2022/07/17 00:00 [accepted]
PHST- 2022/07/28 06:00 [pubmed]
PHST- 2022/09/17 06:00 [medline]
PHST- 2022/07/27 21:22 [entrez]
PHST- 2022/09/01 00:00 [pmc-release]
AID - TCA14600 [pii]
AID - 10.1111/1759-7714.14600 [doi]
PST - ppublish
SO  - Thorac Cancer. 2022 Sep;13(18):2659-2663. doi: 10.1111/1759-7714.14600. Epub 2022 
      Jul 27.