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Topics:
Thoracic Malignancies • Medical Oncology • Gastroenterology • Pulmonology • Interventional Pulmonology
What is your experience with transesophageal lung mass biopsies?
A patient had a mass in a location that is difficult to biopsy both bronchoscopically and percutaneously.
Answer from: at Community Practice
Thoracic lesions requiring FNA in the mediastinum are often best approached with EUS–FNA, as the sedation and airway management are less complex than the EBUS, and the needle does not need to break through cartilage rings to access the lesion. On the other hand, a lung mass would require the n...
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Answer from: at Academic Institution
As Dr. @Moyer points out, lung masses can be biopsied via EUS if adjacent to the esophagus, and best without intervening pleura. There was a recent article published in Gastrointestinal Endoscopy about it: Rizzo et al., PMID 39368717.Interestingly, in this study, 80% of the needles used were 22G!