• Surgery today · Jan 2008

    Case Reports

    A solitary metastatic lung tumor from thyroid papillary carcinoma diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): report of a case.

    • Yuichi Sakairi, Kazuhiro Yasufuku, Akira Iyoda, Makoto Suzuki, Takahiro Nakajima, Yasuo Sekine, Kiyoshi Shibuya, Yoko Takahashi, Yukio Nakatani, and Takehiko Fujisawa.
    • Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
    • Surg. Today. 2008 Jan 1; 38 (1): 46-8.

    AbstractA solitary metastatic tumor from thyroid papillary carcinoma is rarely diagnosed preoperatively. A 61-year-old woman was referred to us for investigation of a solitary nodule in the right lung field on a chest X-ray, several years after a right hemithyroidectomy for thyroid carcinoma. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of a tumor in the right lower lobe, adjacent to the inferior pulmonary vein, revealed metastasis of thyroid papillary carcinoma. Immunohistochemical examination of histological cores obtained from the EBUS-TBNA proved extremely helpful in confirming the diagnosis. We performed right lower lobectomy with lymph node sampling, and the final pathological diagnosis was papillary carcinoma without lymph node metastasis.

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