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KMID : 0383820110710050355
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Tuberculosis and Respiratory Diseases
2011 Volume.71 No. 5 p.355 ~ p.358
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Histopathologic Diagnosis of Pleural Metastasis of Renal Cell Carcinoma Using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration
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Kang Yeh-Rim
Jhun Byung-Woo
Jeon Kyeong-Man
Suh Gee-Young
Chung Man-Pyo
Kim Ho-Joong
Kwon O-Jung
Han Joung-Ho
Um Sang-Won
Koh Won-Jung
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Abstract
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Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a useful, safe diagnostic modality for evaluating mediastinal and hilar lymphadenopathy. We report a 51-year-old male who presented with a left renal mass and multiple pleural masses without lung parenchymal lesions. The pleural masses were thought to be metastatic tumors or malignant mesothelioma. The patient underwent two percutaneous needle biopsies of the pleural mass, but the specimens were insufficient for a histopathological diagnosis. Because one pleural mass was adjacent to the right main bronchus, we decided to perform EBUS-TBNA for the pleural mass. As a result, sufficient core tissue was obtained with no complications, and the histopathological findings were consistent with metastatic papillary renal cell carcinoma. To our knowledge, this is the first case of using EBUS-TBNA for a pleural mass.
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KEYWORD
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Biopsy, Fine-Needle, Ultrasonography, Pleura, Neoplasms, Carcinoma, Renal Cell
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