Journals / Turkish Thoracic Journal / 2021 / Cilt: 22 - Sayı: 3

Endosonography Diagnosis with a New ProCore 20G of Mediastinal Metastasis from a Malignant Cutaneous Melanoma

Pages
267–270
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Theauthors report the first case in the literature of metastatic mediastinal melanoma derived from malignant cutaneous melanoma, whichwas submitted to Endosonography-guided fine needle biopsy (EUS-FNB) with the new ProCore 20G, to obtain tissue, being confirmed byhistological examination of the specimens obtained with a single puncture.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Melanoma is an uncommon tumor and represents about 1.5% of all neoplasms.
📊
Key Findings & Data:The endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) sensitivity is low and similar to endobronchial ultrasound-guided transbronchial needle biopsy(EBUS-TBNB) performed with the ProCore 25G or 22G needle.
💡
Conclusion & Impact:Theauthors report the first case in the literature of metastatic mediastinal melanoma derived from malignant cutaneous melanoma, whichwas submitted to Endosonography-guided fine needle biopsy (EUS-FNB) with the new ProCore 20G, to obtain tissue, being confirmed byhistological examination of the specimens obtained with a single puncture.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Melanoma is an uncommon tumor and represents about 1.5% of all neoplasms. In the mediastinum, it presents as a primary neoplasm ormetastasis. Diagnosis is essential for the adoption of the best therapy. Endosonography-guided fine needle aspiration (EUS-FNA) obtainscell samples and, when associated with other auxiliary exams such as immunohistochemistry, is useful to identify and differentiateprimary and/or metastatic mediastinal lesions from a wide variety of other neoplasms. The endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) sensitivity is low and similar to endobronchial ultrasound-guided transbronchial needle biopsy(EBUS-TBNB) performed with the ProCore 25G or 22G needle. Thus, the diagnosis of this type of tumor becomes a great challenge. Theauthors report the first case in the literature of metastatic mediastinal melanoma derived from malignant cutaneous melanoma, whichwas submitted to Endosonography-guided fine needle biopsy (EUS-FNB) with the new ProCore 20G, to obtain tissue, being confirmed byhistological examination of the specimens obtained with a single puncture.

🔖

Cite This Article

ROMANİNİ, S., ALMEİDA, A. F. D., CASTRO, J. S. L. D., SERRANO, J. P. R., TORRES, I. T., ARDENGH, J. (2021). Endosonography Diagnosis with a New ProCore 20G of Mediastinal Metastasis from a Malignant Cutaneous Melanoma. Turkish Thoracic Journal, Cilt: 22 - Sayı: 3, 267–270. https://ajindex.com/articles/414144

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Bavi P, Shet T, Gujral S. Malignant melanoma of mediastinum misdiagnosed as a spindle cell thymoma in a fine needle aspirate: A case report. Acta Cytol. 2005;49(4):424-426. [CrossRef] 2. Eloubeidi MA, Khan AS, Luz LP et al. Combined use of EUSguided FNA and immunocytochemical stains discloses metastatic and unusual diseases in the evaluation of mediastinal lymphadenopathy of unknown etiology. Ann Thorac Med. 2012;7(2):84-91. [CrossRef] 3. Loewenthal B, Shiau MC, Garcia R. Metastatic melanoma: An unusual diagnosis for a large anterior mediastinal mass. RadioGraphics. 2004;24(6):1714-1718. [CrossRef] 4. Ardengh JC, Bammann RH, Giovani Md, Venco F, Parada AA. Endoscopic ultrasound-guided biopsies for mediastinal lesions and lymph node diagnosis and staging. Clinics (Sao Paulo). 2011;66(9):1579-1583. [CrossRef] 5. Ryan DJ, McPhillips D, Bruzzi J, Breen D. A clue in a colour? EBUS-TBNA in the analysis of isolated mediastinal lymphadenopathy. BMJ Case Rep. 2014;2014(feb 231):bcr2013202255- bcr2013202255. [CrossRef] 6. Fournier C, Hermant C, Gounant V et al. Diagnostic of mediastinal lymphadenopathy in extrathoracic cancer: A place for EBUS-TBNA in real life practice? Respir Med Res. 2019;75:1-4. [CrossRef] 7. Yang L, Gu Y, Wang H et al. Novel ProCore 25-gauge needle for endobronchial ultrasound-guided transbronchial needle aspiration reduces the puncture time and frequency, with comparable diagnostic rate for mediastinal and hilar lymphadenopathy. Thorac Cancer. 2020;11(3):748-753. [CrossRef] 8. Fabbri C, Fornelli A, Fuccio L et al. High diagnostic adequacy and accuracy of the new 20G procore needle for EUS-guided tissue acquisition: Results of a large multicentre retrospective study. Endosc Ultrasound. 2019;8(4):261-268. [CrossRef] 9. Armellini E, Manfrin E, Trisolini E et al. Histologic retrieval rate of a newly designed side-bevelled 20G needle for EUS-guided tissue acquisition of solid pancreatic lesions. U Eur Gastroenterol J. 2019;7(1):96-104. [CrossRef] 10. McCracken DJ, Bailey M, McDermott MT, McManus TE. A retrospective analysis comparing the use of ProCore(R) with standard fine needle aspiration in endobronchial ultrasoundguided transbronchial needle aspiration (EBUS-TBNA). Ir J Med Sci. 2019;188(1):85-88. [CrossRef]