"Melting Lymph Node Sign": The Endobronchial Ultrasound Pattern Of Cystic Mediastinal Nodal Metastases.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
11 2019
Historique:
received: 25 01 2019
revised: 23 02 2019
accepted: 10 03 2019
pubmed: 15 4 2019
medline: 27 3 2020
entrez: 15 4 2019
Statut: ppublish

Résumé

Cystic change in metastatic lymph nodes occurs in certain types of tumors (ie, papillary thyroid carcinoma and squamous cell carcinoma of the Waldeyer's ring) and it is usually observed in the head and neck region. We report on a series of 6 patients with mediastinal metastasis from lung cancer in whom the endobronchial ultrasound showed that most of the lymph node tissue had "melted," leading to the formation of a single, anechoic, avascular cavity. Besides the unique endobronchial ultrasound pattern, we describe the imaging and pathology findings of this unusual presentation of malignant mediastinal lymphadenopathy to facilitate its recognition.

Identifiants

pubmed: 30981851
pii: S0003-4975(19)30524-7
doi: 10.1016/j.athoracsur.2019.03.038
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e311-e314

Informations de copyright

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Rocco Trisolini (R)

Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy. Electronic address: rocco.trisolini@aosp.bo.it.

Filippo Natali (F)

Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Vanina Livi (V)

Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Marco Ferrari (M)

Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Daniela Paioli (D)

Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Alessandra Cancellieri (A)

Pathology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

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Classifications MeSH