Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of an Intravascular Sarcoma Metastasis

Abstract

The role of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of endovascular lesions has rarely been described. We report a case of EBUS-TBNA of a solid mass in the left pulmonary artery in a patient with synovial sarcoma of the kidney, which was performed without complications and led to the diagnosis of metastatic disease. EBUS-TBNA seems to be a rapid, minimally invasive, safe and effective diagnostic procedure in selected cases of endovascular lesions.

Metastatic synovial sarcoma of lung mimicking pulmonary embolism and deep venous thrombosis

“…Although the bleeding complications of this procedure have been questioned, we took into account that the mass was in direct contact with the pulmonary vessel wall as shown from the CT scan, and EBUS can detect the blood flow before it approaches the tissue. Therefore, this procedure may be considered safe as reported 4 5. It is difficult to make a definite diagnosis of SS even with histopathology.…”

Pathway and application value of exploration of the pulmonary artery by endobronchial ultrasound

“…For central thromboembolism patients with stable haemodynamics, at least one pulmonary embolism is detected by EBUS for each enrolled patient (7). Non-thromboembolic pulmonary vascular lesions include pulmonary artery sarcoma (16)(17)(18)(19)(20), pulmonary artery metastasis of tumors (21)(22)(23)(24) or septic pulmonary artery embolisms (25,26). Considering the high sensitivity and specificity of EBUS-TBNA in the diagnosis of mediastinal and hilar tumors, and the high risk associated with these tumors for pulmonary embolism, the exploration and evaluation of the pulmonary artery to identify possible pulmonary embolism when performing EBUS-TBNA has potentially important clinical significance.…”

Endobronchial Ultrasound Bronchoscopy to the Heart of the Matter

“…Accessing the thoracic vasculature and transbronchial left atrial catheterisation has been primarily attempted almost 50 years ago and is still performed with relative success in terms of diagnostic accuracy and low morbidity rates [8,9,10]. Despite the good results until the introduction and standardisation of the transbronchial needle aspiration (TBNA) procedure by Wang and Terry [11], these procedures were abandoned.…”