Email this article Complication of transesophageal fine-needle aspiration of the mediastinal lymph nodes. Clinical observation
- Authors: Iurichev I.N.1, Malikhova O.A.2, Gerasimov S.S.2, Vereshchak V.V.1
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Affiliations:
- Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
- N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
- Issue: Vol 2, No 1 (2022)
- Pages: 74-79
- Section: RARE COMPLICATIONS AND COMPLEX CLINICAL SITUATIONS: DIAGNOSIS AND TREATMENT SELECTION
- Published: 04.03.2022
- URL: https://mdonco.abvpress.ru/jour/article/view/30
- DOI: https://doi.org/10.17650/2782-3202-2022-2-1-74-79
- ID: 30
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Abstract
Ultrasound-guided fine-needle aspiration is an invasive intervention which is used for diagnosis of additional formations of the walls of the gastrointestinal tract, as well as focal pathologies beyond it. Many reports indicate high diagnostic effectiveness and safety of this method but with increasing number of aspirations endoscopists start to encounter rare complications of this manipulation. The article presents a description of a rare complication which arose during transesophageal fine-needle aspiration, as well as a correct algorithm of patient management in the post-manipulation period.
Determination of the correct strategy of patient management led to favorable outcome of the complication and determination of the final clinical diagnosis.
About the authors
I. N. Iurichev
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Author for correspondence.
Email: ilia-yurichev@yandex.ru
ORCID iD: 0000-0002-1345-041X
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationO. A. Malikhova
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
ORCID iD: 0000-0003-0829-7809
24 Kashirskoe Shosse, Moscow 115478
Russian FederationS. S. Gerasimov
N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
ORCID iD: 0000-0002-0833-6452
24 Kashirskoe Shosse, Moscow 115478
Russian FederationV. V. Vereshchak
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
ORCID iD: 0000-0002-6850-6919
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationReferences
- Vilmann P., Jacobsen G.K., Henriksen F.W., Hancke S. Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease. Gastrointest Endosc 1992;38(2):172–3. doi: 10.1016/s0016-5107(92)70385-x.
- Mekky M.A., Yamao K., Sawaki A. et al. Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors. Gastrointest Endosc 2010;71(6):913–9. doi: 10.1016/j.gie.2009.11.044.
- Zhang L., Sanagapalli S., Stoita A. Challenges in diagnosis of pancreatic cancer. World J Gastroenterol 2018;24(19):2047–60. doi: 10.3748/wjg.v24.i19.2047.
- Iwashita T., Yasuda I., Tsurumi H. et al. Endoscopic ultrasound-guided fine needle aspiration biopsy for splenic tumor: A case series. Endoscopy 2009;41(2):179–82. doi: 10.1055/s-0028-1119474.
- Martin-Cardona A., Fernandez-Esparrach G., Subtil J.C. et al. EUS-guided tissue acquisition in the study of the adrenal glands: Results of a nationwide multicenter study. PLoS One 2019;14(6):e0216658. doi: 10.1371/journal.pone.0216658.
- Catalano M.F., Rosenblatt M.L., Chak A. et al. Endoscopic ultrasound-guided fine needle aspiration in the diagnosis of mediastinal masses of unknown origin. Am J Gastroenterol 2002;97(10):2559–65. doi: 10.1111/j.1572-0241.2002.06023.x.
- Yasuda I., Goto N., Tsurumi H. et al. Endoscopic ultrasound-guided fine needle aspiration biopsy for diagnosis of lymphoproliferative disorders: Feasibility of immunohistological, flow cytometric, and cytogenetic assessments. Am J Gastroenterol 2012;107(3):397–404. doi: 10.1038/ajg.2011.350.
- Rzouq F., Brown J., Fan F. et al. The utility of lower endoscopic ultrasound-guided fine needle aspiration for the diagnosis of benign and malignant pelvic diseases. J Clin Gastroenterol 2014;48(2):127–30. doi: 10.1097/MCG.0b013e3182951a72.
- Kim S.H., Woo Y.S., Lee K.H. et al. Preoperative EUS-guided FNA: Effects on peritoneal recurrence and survival in patients with pancreatic cancer. Gastrointest Endosc 2018;88(6):926–34. doi: 10.1016/j.gie.2018.06.024.
- Khalid A., Nodit L., Zahid M. et al. Endoscopic ultrasound fine needle aspirate DNA analysis to differentiate malignant and benign pancreatic masses. Am J Gastroenterol 2006;101(11):2493–500. doi: 10.1111/j.1572-0241.2006.00740.x.
- Kurita A., Kodama Y., Nakamoto Y. et al. Impact of EUS-FNA for preoperative para-aortic lymph node staging in patients with pancreatobiliary cancer. Gastrointest Endosc 2016;84(3):467–75.e1. doi: 10.1016/j.gie.2016.02.045.
- Krishna N.B., LaBundy J.L., Saripalli S. et al. Diagnostic value of EUS-FNA in patients suspected of having pancreatic cancer with a focal lesion on CT scan/MRI but without obstructive jaundice. Pancreas 2009;38(6):625–30. doi: 10.1097/MPA.0b013e3181ac35d2.
- Akahoshi K., Oya M., Koga T., Shiratsuchi Y. Current clinical management of gastrointestinal stromal tumor. World J Gastroenterol 2018;24(26):2806–17. doi: 10.3748/wjg.v24.i26.2806.
- Michael H., Ho S., Pollack B. et al. Diagnosis of intra-abdominal and mediastinal sarcoidosis with EUS-guided FNA. Gastrointest Endosc 2008;67(1):28–34. doi: 10.1016/j.gie.2007.07.049.
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