Mediastinal Lymph Node Metastasis of Esophageal Cancer with Esophageal Stenosis Diagnosed via Transesophageal Endoscopic Ultrasound with Bronchoscope-guided Fine-needle Aspiration

Emi Tanaka, Naohiro Oda, Sayo Kobayashi, Tsuneyoshi Ogawa, Reo Mitani, Toru Nawa, Ichiro Takata, Toru Ueki, Hiroyuki Okada

Research output: Contribution to journalArticlepeer-review

Abstract

An 80-year-old man underwent follow-up examinations after endoscopic submucosal dissection (ESD) for esophageal cancer. Computed tomography showed enlarged lymph nodes of the right recurrent nerve. The patient had esophageal stenosis due to repeated ESD for multiple esophageal tumors. The stenosis made the passage of an endoscopic ultrasound (EUS) scope through the esophagus difficult. Thus, an endobronchial ultrasound bronchoscope, which had a thinner diameter than that of the EUS scope, was used for transesophageal endoscopic ultrasound with bronchoscope-guided fine-needle aspiration. This technique led to the diagnosis of mediastinal lymph node metastasis of esophageal cancer.

Original languageEnglish
Pages (from-to)1007-1010
Number of pages4
JournalInternal Medicine
Volume61
Issue number7
DOIs
Publication statusPublished - 2022

Keywords

  • endobronchial ultrasound
  • endoscopic submucosal dissection
  • endoscopic ultrasound with bronchoscope-guided fine-needle aspiration
  • esophageal cancer
  • esophageal stenosis
  • mediastinal lymph node metastasis

ASJC Scopus subject areas

  • Internal Medicine

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