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Endoscopic ultrasound in mediastinal tuberculosis
Malay Sharma1, Ruth Shifa Ecka1, Aravindh Somasundaram2
1Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
Lung India : Official Organ of Indian Chest Society
|April 7, 2016
Summary
Endoscopic ultrasound-guided fine needle aspiration is key for diagnosing mediastinal tuberculosis. This study details the utility and ultrasonic features of lymph nodes in diagnosing this common extrapulmonary manifestation.
Area of Science:
- Pulmonology
- Gastroenterology
- Diagnostic Imaging
Background:
- Tubercular lymphadenitis is the most frequent extrapulmonary form of tuberculosis, often affecting cervical and mediastinal lymph nodes.
- Standard ultrasonography and Endoscopic Ultrasound (EUS) have defined normal lymph node characteristics.
- While numerous ultrasonic features for mediastinal lymph node evaluation exist, their inter- and intraobserver agreement requires further establishment.
Purpose of the Study:
- To establish the diagnostic utility of EUS-guided fine needle aspiration (EUS-FNA) for mediastinal tuberculosis.
- To describe the characteristic EUS features of mediastinal lymph nodes affected by tuberculosis.
Main Methods:
- A retrospective analysis of 266 patients undergoing EUS-FNA.
- Identification and description of EUS features for mediastinal lymph nodes.
Main Results:
- 134 cases were diagnosed with mediastinal tuberculosis.
- Detailed descriptions of the location and ultrasonic features of these tuberculous lymph nodes are provided.
Conclusions:
- EUS-guided fine needle aspiration is the preferred diagnostic method for mediastinal tuberculosis.
- The study outlines various EUS features indicative of mediastinal tuberculous lymphadenitis.
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