NDLI: Thymic carcinoma diagnosed by using endoscopic ultrasound with fine-needle aspiration

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Thymic carcinoma diagnosed by using endoscopic ultrasound with fine-needle aspiration

Content Provider	Scilit
Author	Patel, Pragnesh Guider, Julie Rahimi, Erik Guha, Sushovan Zhang, Songlin Thosani, Nirav
Copyright Year	2016
Abstract	There is a paucity of literature on the use of endoscopic ultrasound (EUS) for evaluating superior mediastinal structures, especially the thymus gland. We report a case of thymic carcinoma diagnosed by using EUS elastography with strain ratio and fine-needle aspiration (FNA). A 64-year-old woman presented with altered mental status and was diagnosed with autoimmune encephalitis. Further work-up suggested a superior mediastinal mass, for which she underwent EUS. A hypoechoic mass was found in the superior mediastinum at the level of the aortic arch. Real-time EUS elastography showed a predominantly blue hue to the mass concerning for malignancy. FNA of the mass was performed, which revealed numerous large neoplastic cells under a background of a small lymphoid infiltrate. Immunohistochemistry was strongly positive for PAX8, pancytokeratin, and CAM5.2. The pathologic and immunohistochemical stains were consistent with thymic carcinoma.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4918306/pdf
File Format	XHTML
ISSN	23039027
e-ISSN	22267190
DOI	10.4103/2303-9027.183975
Journal	Endoscopic Ultrasound
Issue Number	3
Volume Number	5
Language	English
Publisher	Medknow
Access Restriction	Open
Subject Keyword	Gastroenterology and Hepatology Elastography Endoscopic Ultrasound (eus) Fine-needle Aspiration (fna) Mediastinum Mass Thymic Carcinoma Endoscopic Ultrasound, Volume 5, Issue 3
Content Type	Text
Resource Type	Article
Subject	Hepatology Radiology, Nuclear Medicine and Imaging Gastroenterology

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