Transoesophageal Bronchoscopic Ultrasound-guided Fine-needle Aspiration (EUS-B-FNA) for Left Adrenal Gland (LAG) Sampling: A Report of Three Cases with a Review of the Literature

Overview

Journal Lung India

Specialty Pulmonary Medicine

Date 2023 Nov 14

PMID 37961966

Authors

Rohit Vadala

Saurabh Mittal

Aruna Nambirajan

Vijay Hadda

Anant Mohan

Randeep Guleria

Karan Madan

Affiliations

Soon will be listed here.

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a standard-of-care modality for evaluating mediastinal lymph nodes and masses. The EBUS bronchoscope may also be introduced through the oesophageal route to perform sampling of accessible lesions, a technique described as transoesophageal bronchoscopic ultrasound-guided fine-needle aspiration (EUS-B-FNA). Because of the central oesophageal approach, EUS-B-FNA provides easy access to the left para-tracheal, subcarinal and para-oesophageal lymph nodes. In addition, the left adrenal gland (LAG) can also be imaged and sampled during the EUS-B-FNA procedure. In patients with suspected lung cancer, accurate staging is essential. Adrenal metastasis is relatively common and may often be a solitary metastatic site. We describe three cases where EUS-B-FNA was performed to safely sample the enlarged LAG in suspected lung cancer. We also review the literature on the performance characteristics of EUS-B-FNA for LAG aspiration.

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