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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2021; 11(03): 201-203
DOI: 10.1055/s-0041-1725241
Case Report

Endobronchial Ultrasound in Evaluating Mediastinal Lymphadenopathy

Nandakishore Baikunje 
1   Department of Pulmonary Medicine, K.S. Hegde Medical Academy, Nitte (Deemed to be) University, Nityananda Nagara, Deralakatte, Mangaluru, Karnataka, India
,
Giridhar Belur Hosmane
1   Department of Pulmonary Medicine, K.S. Hegde Medical Academy, Nitte (Deemed to be) University, Nityananda Nagara, Deralakatte, Mangaluru, Karnataka, India
,
Sunil Kumar Y.
2   Department of Pathology, K.S. Hegde Medical Academy, Nitte (Deemed to be) University, Nityananda Nagara, Deralakatte, Mangaluru, Karnataka, India
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Abstract

Tuberculosis can involve most of the body parts, and tubercular lymphadenitis is common. But isolated involvement of mediastinal lymph nodes without lung parenchymal involvement is rare in adults. A 45-year-old lady presented with subcarinal lymph node enlargement. A conventional transbronchial needle aspiration done at a local hospital was inconclusive. Endobronchial ultrasound-guided transbronchial needle aspiration was done. Cytology showed epithelioid histiocytes and caseous necrosis. Stain for acid-fast bacilli and cartridge-based nucleic acid amplification test for tuberculosis were positive. Endobronchial ultrasound-guided transbronchial needle aspiration is a minimally invasive bronchoscopic technique to visualize and sample mediastinal lymph nodes. However, its availability is limited to specific centers and expertise is required to interpret images and take diagnostic samples.

Keywords

tuberculosis - mediastinal lymphadenopathy - EBUS-TBNA


Publication History

Article published online:
11 March 2021

© 2021. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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