The role of endoscopic ultrasound in the staging of tracheal neoplasm: a brief review

Oliveira, Cristiane Mota; Colaiácovo, Rogério; Araki, O; Domene, Anna Fernanda C.; Filho, Divino Oliveira Mamede; Saieg, Mauro; Rossini, Lucio G.

doi:10.1590/1806-9282.65.5.589

Cited by 2 publications

(2 citation statements)

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“…Intratumoral chemotherapy was first used by Bateman et al in 1958 where it was used in breast carcinoma with 66% improvement rate. It has been used over the years for lid carcinoma, head and neck carcinoma, skin carcinoma and deep seated intra-abdominal tumour with variable success [4].…”

Section: Discussionmentioning

confidence: 99%

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Revisiting bronchoscopic intratumoral chemotherapy in malignant central airway obstruction via EUS-B approach and its review of literature

Chawla

Pareek

Chauhan

et al. 2020

Monaldi Arch Chest Dis

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Critical central airway obstruction has always been a dreaded complication to which interventional pulmonologist commonly encounters. There have been various modalities which are used for the management and palliation, which includes mechanical coring, laser, cryoextraction, electrocautery and airway stenting. Rigid bronchoscopy with or without jet ventilation has been corner stone of therapeutics and palliation of central airway obstruction. There are only a few conditions where it is not possible to use rigid bronchoscopy. Here we report a case of metastatic tracheal tumour which presented with critical airway obstruction in a patient who had atlantoaxial instability (AAI) due to rheumatoid arthritis. Here we used endobronchial ultrasound scope (EBUS) via esophageal route, i.e. EUS-B guided approach for sampling of the tracheal tumour, and intratumoral chemotherapy was instilled in multiple sessions, which resulted in shrinking of tumour, thus relieving the critical airway obstruction. This is the first report of using EUS-B approach for intratumoral chemotherapy for tracheal tumors. Bronchoscopic intratumoral chemotherapy therapy (BITC) in tracheal tumors is also one of the options but has not been explored much and there has been a dearth of literature for it.

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Section: Discussionmentioning

confidence: 99%

“…So, TBNA was planned via EUS-B approach. EBUS scope (EVIS EXERA II, Olympus Inc., Tokyo, Japan) was introduced via oesophagus [3,4]. Sonography showed heterogenous mass with a coursing vessel and had well defined margins.…”

Section: Revisiting Bronchoscopic Intratumoral Chemotherapy In Malignmentioning

confidence: 99%