Prospective Study of Focused Neck US by Respiratory Physicians in Patients With Pulmonary Disease and Intrathoracic Lymphadenopathy

El-Shaarawy, Basma; Gharraf, Heba S.; El-Hefny, Ahmed; Hassan, Maged

doi:10.1016/j.chest.2022.10.005

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2024

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“…Additionally, they performed neck lymph node biopsies in eligible patients, which had a diagnostic yield of 92%, similar to previous reports 6 , 7 . Importantly, tissue sampling can be carried out by pulmonary physicians and avoids more imaging studies, procedures, and potential adverse effects from sedation and anesthesia 11 , 12 .…”

Section: Discussionmentioning

confidence: 99%

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

Moore,

Mrad,

Riley

et al. 2024

pocus

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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 8th 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, endobronchial ultrasound, 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.

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