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Endoscopy 2006; 38: 73-76
DOI: 10.1055/s-2006-946660
Invited papers
Mediastinal EUS
© Georg Thieme Verlag KG Stuttgart · New York

EUS for unexplained mediastinal lesions

T. J. Savides1 , C. M. Behling2
  • 1Professor of Clinical Medicine, University of California, San Diego
  • 2Associate Professor of Clinical Pathology, University of California, San Diego
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Publication History

Publication Date:
26 June 2006 (online)

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Introduction

Trans-esophageal endoscopic ultrasound (EUS) with fine needle aspiration (FNA) offers a unique ability to assess and biopsy posterior mediastinal lesions. This review will focus on EUS diagnosis of unexplained posterior mediastinal, lymph nodes, masses, and cysts. Table [1] shows the types of posterior mediastinal lesions which can be diagnosed with trans-esophageal EUS/FNA cytology.

Table 1 Posterior mediastinal lesions that can be diagnosed with EUS/FNA Primary pulmonary cancer Non-small cell lung cancer Small Cell Lung Cancer Metastatic cancer from extra-thoracic malignancy Lymphoma Reactive Lymph Nodes Granulomatous Disease Sarcoid Histoplasmosis Tuberculosis Neurogenic Tumors Duplication Cysts Mediastinal Abscess/Mediastinitis

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Thomas J. Savides, M.D.

UCSD Gastroenterology (8413)

200 West Arbor Drive

San Diego, CA 92103-8413

Email: tsavides@ucsd.edu

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