1. Endoscopic ultrasound-guided fine-needle aspiration of an aortocaval lymph node by the transcaval approach.
- Author
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Choudhary, Narendra S., Bansal, Rinkesh K., Puri, Rajesh, Guleria, Mridula, and Sud, Randhir
- Subjects
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ENDOSCOPIC ultrasonography , *NEEDLE biopsy , *LYMPH node diseases , *GALLBLADDER cancer , *CELLULAR pathology , *ADENOCARCINOMA , *OLDER men , *DISEASES in older people - Abstract
A 59-year-old male was diagnosed as carcinoma gallbladder around 1 year back and underwent radical cholecystectomy. He also received four cycles of chemotherapy. Now, he complained upper abdominal heaviness; positron emission tomography-computed tomography (PET-CT) was done which showed PET-avid 8.5 mm sized lymph node at aortocaval region. There was no safe route, so endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) was advised. However, FNA was not possible without crossing inferior vena cava and further management depended on FNA report. The EUS-FNA was done, and cytopathological smears were consistent with metastatic adenocarcinoma. There was no complication. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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