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Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma.

Publication ,  Journal Article
Bean, SM; Eloubeidi, MA; Cerfolio, R; Chhieng, DC; Eltoum, IA
Published in: Diagn Cytopathol
January 2008

Patients with malignant pleural mesothelioma and negative N2 stage lymph nodes may benefit from extrapleural pneumonectomy with adjuvant therapy. The objective of this study is to describe the use of EUS-FNA to determine N2 stage status in patients with mesothelioma and its impact in the management of such patients. Six patients (mean age, 62 yr; median age, 63 yr; range, 52-70 yr; 5 men; 1 woman) underwent EUS-FNA for staging of N2 lymph nodes from July 2000 to July 2006. Follow-up included operative notes, treatment summaries, and surgical pathology. Eight sites were aspirated: four subcarinal lymph nodes, three aorto-pulmonary window lymph nodes, and one paraesophageal mass. Two of 8 (25%) aspirates were positive for metastatic disease in two different patients. Two false negative EUS-FNAs were observed and were attributed to sampling error not diagnostic error. No complications were observed. EUS-FNA is a safe N2 node staging technique in patients with mesothelioma. A positive N2 lymph node by EUS-FNA may be a contraindication to definitive surgery in patients with malignant mesothelioma.

Duke Scholars

Published In

Diagn Cytopathol

DOI

ISSN

8755-1039

Publication Date

January 2008

Volume

36

Issue

1

Start / End Page

32 / 37

Location

United States

Related Subject Headings

  • Pleural Neoplasms
  • Patient Selection
  • Pathology
  • Neoplasm Staging
  • Middle Aged
  • Mesothelioma
  • Male
  • Lymphatic Metastasis
  • Lymph Nodes
  • Humans
 

Citation

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Bean, S. M., Eloubeidi, M. A., Cerfolio, R., Chhieng, D. C., & Eltoum, I. A. (2008). Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma. Diagn Cytopathol, 36(1), 32–37. https://doi.org/10.1002/dc.20740
Bean, Sarah M., Mohamad A. Eloubeidi, Robert Cerfolio, David C. Chhieng, and Isam A. Eltoum. “Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma.Diagn Cytopathol 36, no. 1 (January 2008): 32–37. https://doi.org/10.1002/dc.20740.
Bean SM, Eloubeidi MA, Cerfolio R, Chhieng DC, Eltoum IA. Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma. Diagn Cytopathol. 2008 Jan;36(1):32–7.
Bean, Sarah M., et al. “Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma.Diagn Cytopathol, vol. 36, no. 1, Jan. 2008, pp. 32–37. Pubmed, doi:10.1002/dc.20740.
Bean SM, Eloubeidi MA, Cerfolio R, Chhieng DC, Eltoum IA. Endoscopic ultrasound-guided fine needle aspiration is useful for nodal staging in patients with pleural mesothelioma. Diagn Cytopathol. 2008 Jan;36(1):32–37.
Journal cover image

Published In

Diagn Cytopathol

DOI

ISSN

8755-1039

Publication Date

January 2008

Volume

36

Issue

1

Start / End Page

32 / 37

Location

United States

Related Subject Headings

  • Pleural Neoplasms
  • Patient Selection
  • Pathology
  • Neoplasm Staging
  • Middle Aged
  • Mesothelioma
  • Male
  • Lymphatic Metastasis
  • Lymph Nodes
  • Humans