Point of Care Ultrasound Identification and Aspiration of a Neck Lymph Node

Andrew Moore; Ali Mrad; Leonard Riley; Sonia M Castillo

doi:10.24908/pocus.v9i1.16761

Point of Care Ultrasound Identification and Aspiration of a Neck Lymph Node

POCUS J. 2024 Apr 22;9(1):11-13. doi: 10.24908/pocus.v9i1.16761. eCollection 2024.

Authors

Andrew Moore¹, Ali Mrad¹, Leonard Riley^{1

2}, Sonia M Castillo²

Affiliations

¹ Division of Pulmonary and Critical Care, The University of Kansas Medical Center Kansas City, KS USA.
² Division of Pulmonary and Critical Care, Kansas City VA Medical Center Kansas City, KS USA.

Abstract

The tissue diagnosis and staging of all types of lung cancer is foundational for prognosis and establishing the optimal treatment plan. In order to appropriately stage lung cancer, the highest stage should be established using the 8^th edition TNM criteria, where tumor size (T), nodal involvement (N), and metastasis (M) are all taken into account. Establishing a tissue diagnosis may involve the use of CT guided biopsy, navigational bronchoscopy, endobronchial biopsy, EBUS, percutaneous lymph node biopsy and/or excisional biopsy of supraclavicular nodes. It is recommended to proceed with the method that is considered least invasive and provides the highest staging. We present a case of recurrent lung adenocarcinoma diagnosed with real time ultrasound-guided fine needle aspiration of a neck lymph node.

Keywords: FNA; Lung Cancer; POCUS; Supraclavicular Lymph Node.

Publication types

Case Reports