Convex endobronchial ultrasound: same coin, two faces. Challenging biopsy and staging for non-small-cell lung cancer

Konstantinos Sapalidis; Konstantinos Romanidis; Panagoula Oikonomou; Paul Zarogoulidis; Athanasios Katsaounis; Aikaterini Amaniti; Nikolaos Michalopoulos; Charilaos Koulouris; Kosmas Tsakiridis; Dimitrios Giannakidis; Isaak Kesisoglou; Aris Ioannidis; Iason Nikolaos-Katsios; Anastasios Vagionas; Wolfgang Hohenforst-Schmidt; Haidong Huang; Chong Bai; Alexandru Marian Goganau; Christoforos Kosmidis

doi:10.2217/lmt-2019-0008

Convex endobronchial ultrasound: same coin, two faces. Challenging biopsy and staging for non-small-cell lung cancer

Lung Cancer Manag. 2020 Jan 16;8(4):LMT20. doi: 10.2217/lmt-2019-0008.

Authors

Konstantinos Sapalidis¹, Konstantinos Romanidis², Panagoula Oikonomou², Paul Zarogoulidis^{1

3}, Athanasios Katsaounis¹, Aikaterini Amaniti⁴, Nikolaos Michalopoulos¹, Charilaos Koulouris¹, Kosmas Tsakiridis⁵, Dimitrios Giannakidis¹, Isaak Kesisoglou¹, Aris Ioannidis¹, Iason Nikolaos-Katsios¹, Anastasios Vagionas⁶, Wolfgang Hohenforst-Schmidt⁷, Haidong Huang⁸, Chong Bai¹, Alexandru Marian Goganau⁹, Christoforos Kosmidis¹

Affiliations

¹ 3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
² Second Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
³ Pulmonary Department, Creta InterClinic Private Hospital, Iraklio, Crete, Greece.
⁴ Anesthesiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
⁵ Thoracic Surgery Department, Interbalkan European Medical Center, Thessaloniki, Greece.
⁶ Oncology Department, General Hospital of Kavala, Kavala, Greece.
⁷ Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, 'Hof' Clinics, University of Erlangen, Hof, Germany.
⁸ The Diagnostic & Therapeutic Center of Respiratory Diseases, Shanghai East Hospital, Tongji University, Shanghai, China.
⁹ General Surgery Clinic 1, University of Medicine andPharmacy of Craiova, Craiova County Emergency Hospital, Craiova, Romania.

Abstract

Lung cancer is still diagnosed at a late stage due to lack of early disease symptoms. Despite the development of new diagnostic endoscopic tools, such as radial/convex endobronchial ultrasounds (EBUS) and electromagnetic navigation, most patients are still diagnosed at advanced stage disease. Most of the patients refer to their doctor only if they cough blood or their cough changes character. There are challenging cases in the diagnosis and staging of a patient, such as the one that we will present. We present a case of lung cancer that was diagnosed through a biopsy from the main lesion, with access from the esophagus, through transbronchial needle aspiration with EBUS, under general anesthesia and intubation. Staging with transbronchial needle aspiration with EBUS was also performed at the same session.

Keywords: EBUS; EUS; NSCLC; bronchoscopy; convex probe.

Publication types

Case Reports