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KMID : 0882420100780010117
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Korean Journal of Medicine
2010 Volume.78 No. 1 p.117 ~ p.121
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A case of renal cell carcinoma with mediastinal lymph node metastasis diagnosed by EBUS-TBNA
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Lee Song-Ju
Lee Gyu-Jin
Jung Hyun-Joo
Jang Tae-Won
Huh Bang
Choi Ik-Su
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Abstract
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Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a new method of sampling mediastinal lymph nodes to aid in diagnosing lymphadenopathy and in staging metastatic cancers. This paper describes a case of renal cell carcinoma with mediastinal and hilar lymph nodes metastasis that was diagnosed using EBUS-TBNA. A 17-year-old woman who had mediastinal lymphadenopathy and a right renal mass underwent imaging studies. The results of a first EBUS-TBNA suggested malignancy, but the type of tumor and exact site of the primary tumor were uncertain. Therefore, we repeated EBUS-TBNA with a lower pressure on the vacuum syringe. We successfully diagnosed the mediastinal lymph node metastasis from renal cell carcinoma. (Korean J Med 78:117-121, 2010)
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KEYWORD
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Aspiration biopsy, Clear cell renal carcinoma, Lymphadenopathy, Staging
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