Aspiration of Pericardial Effusion Performed with EUS-B-FNA in Suspected Lung Cancer

Respiration. 2020;99(8):686-689. doi: 10.1159/000508844. Epub 2020 Jul 29.

Abstract

Ultrasound-guided needle aspiration via the esophagus using the endobronchial endoscope (EUS-B-FNA) is increasingly being performed by the pulmonologist for the diagnosis of lung cancer, but we have little experience and data available in the literature especially with respect to staging of the disease. We present 2 cases of EUS-B-guided aspiration of malignant pericardial effusion performed in the same setting as bronchoscopy and endobronchial ultrasound. No complications were observed. We conclude that EUS-B-FNA may be safe and efficacious in the evaluation of pericardial effusion during lung cancer workup. Thus, EUS-B-FNA may save time in the diagnostic workup, improve cancer staging, and prevent transthoracic pericardiocentesis.

Keywords: EUS-B-FNA; Endoscopy; Lung cancer; Pericardiocentesis.

Publication types

  • Case Reports

MeSH terms

  • Bronchi / diagnostic imaging
  • Bronchoscopy
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration* / methods
  • Endosonography
  • Female
  • Humans
  • Lung Neoplasms / complications
  • Lung Neoplasms / pathology*
  • Male
  • Middle Aged
  • Pericardial Effusion / diagnostic imaging
  • Pericardial Effusion / etiology
  • Pericardial Effusion / pathology*
  • Tomography, X-Ray Computed