Korean J Med.  2010 Jan;78(1):117-121.

A case of renal cell carcinoma with mediastinal lymph node metastasis diagnosed by EBUS-TBNA

Affiliations
  • 1Department of Internal Medicine, Busan, Korea. jangtw@ns. kosinmed.or.kr
  • 2Department of Clinical Pathology, Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
  • 3Department of Internal Medicine, Maryknoll Hospital, Busan, Korea.

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a new method of sampling mediastinal lymph nodes to aid in diagnosing lymphadenopathy and in staging metastatic cancers. This paper describes a case of renal cell carcinoma with mediastinal and hilar lymph nodes metastasis that was diagnosed using EBUS-TBNA. A 17-year-old woman who had mediastinal lymphadenopathy and a right renal mass underwent imaging studies. The results of a first EBUS-TBNA suggested malignancy, but the type of tumor and exact site of the primary tumor were uncertain. Therefore, we repeated EBUS-TBNA with a lower pressure on the vacuum syringe. We successfully diagnosed the mediastinal lymph node metastasis from renal cell carcinoma.

Keyword

Aspiration biopsy; Clear cell renal carcinoma; Lymphadenopathy; Staging

MeSH Terms

Adolescent
Biopsy, Needle
Carcinoma, Renal Cell
Female
Humans
Lymph Nodes
Lymphatic Diseases
Needles
Neoplasm Metastasis
Syringes
Vacuum
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