FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2949554057> ?p ?o ?g. }

• W2949554057 endingPage "411" @default.
• W2949554057 startingPage "410" @default.
• W2949554057 abstract "A 73-year-old man with a history of 2 episodes of squamous cell lung cancer treated with resection, chemotherapy, and radiation, along with stage pT1bN0 esophageal adenocarcinoma treated with esophagectomy, presented to our hospital with 2 weeks of worsening cervical neck pain and dysphagia. A CT scan demonstrated a new 2.7-cm prevertebral rim-enhancing lesion in the oropharynx at C2 (Fig. 1A and B). Given the patient’s history of multiple prior cancers, the ear, nose, and throat service was consulted to sample the lesion. However, their approach would require an open surgical biopsy, which, given the patient's odynophagia, might worsen pain and impair healing. Accordingly, the interventional radiology service was next consulted to consider biopsy under CT guidance; however, they considered the location of the mass difficult to access. At this point, the patient was referred to the gastroenterology service for consideration of EUS-guided FNA (EUS-FNA) (Video 1, available online at www.VideoGIE.org). General anesthesia was used to control the airway, and a curved linear array echoendoscope (GF-UCT160, Olympus, Center Valley, Pa, USA) was advanced into the posterior oropharynx. At this point, a firm indurated ill-defined masslike protrusion was noted in the oropharynx (Fig. 2). EUS identified a mixed echogenic (mostly hyperechoic) lesion measuring 2.7 × 2.2 cm invading the C2 cervical vertebra (Fig. 3). Visualization and determination of where to sample this lesion based on the endoscopic view were difficult, given its position; however, a window for aspiration was easily identified on EUS. Using a 25-gauge fine-needle biopsy needle (Medtronic, Minneapolis, Minn, USA), we made a total of 3 passes into the lesion (Fig. 4). The second pass was diagnostic for malignant squamous cells, as confirmed by the in-room cytologist. Final analysis of cytologic stains confirmed malignant epithelial cells consistent with a metastasis from the most-recent stage IIIA squamous cell lung cancer (Fig. 5A and B). The patient was treated with local radiation therapy, which helped control his pain, and was able to be discharged after a 2-day hospitalization.Figure 3Endosonographic view of 2.7-cm × 2.2-cm mixed echogenic lesion at level of C2 vertebra.View Large Image Figure ViewerDownload Hi-res image Download (PPT)Figure 4EUS-FNA of prevertebral lesion with 25-gauge fine-needle biopsy needle.View Large Image Figure ViewerDownload Hi-res image Download (PPT)Figure 5A, Low-power view of final cytologic specimen confirming metastatic lesion of squamous cell lung cancer (H&E, orig. mag. × 20). B, High-power view (H&E, orig. mag. × 40).View Large Image Figure ViewerDownload Hi-res image Download (PPT) Endoscopy is typically reserved for lesions below the cricopharyngeus. Lesions in the oropharynx are typically managed by ear, nose, and throat physicians. Options for sampling retropharyngeal lesions include open surgical biopsy or CT-guided needle biopsy.1Cunningham J.D. McCusker M.W. Power S. et al.Accessible or inaccessible? Diagnostic efficacy of CT-guided core biopsies of head and neck masses.Cardiovasc Intervent Radiol. 2015; 38: 422-429Google Scholar To date, EUS has not been considered a modality to sample such lesions.2Debnam J.M. Guha-Thakurta N. Retropharyngeal and prevertebral spaces: anatomic imaging and diagnosis.Otolaryngol Clin North Am. 2012; 45: 1293-1310Abstract Full Text Full Text PDF PubMed Scopus (50) Google Scholar Our case suggests that EUS-FNA of posterior cervical masses is feasible. Furthermore, by avoiding the need for open surgical biopsy, postprocedural pain is reduced and healing time is shortened. Dr Irani is a consultant for Boston Scientific. The other author disclosed no financial relationships relevant to this publication. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiI3ZDhhMGViOTA4MTBhMmUxNzdjYmVlZTIxYzRlN2Q2NCIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjc3Nzk0NzE4fQ.ExwGBGGi8KoHbLxaJ-e9B8lKi1S4B99PQy7uEtRR5k2w8sv-cV5rZatZXxpw_iI2IJG7AVvIjN6CX1Hm_7NRGXkDkZuwaS2G2DnG2qfV_HmpoNAWNoPcc--87AlDdG_gSpN4h0eZs9j_BbhbyVYe2q41lpmSE60QqTepZPdI5NMFWY-VhZEkoKQ7q8Tc-05t0H9jvrZyOrPsCdAQzndhz6E-nryHaJ4SVhZw8XcbJ7ylLFzH9Am4N26mP8ZShu4oDfltlYzJSGeQseCyMcCOnpNXIsgd2U4kIXWk6YQS9uDnEm2Tpw_FXrp7AtW2KA6MCvmwL2hXf63PTGPdnI9Fog Download .mp4 (40.85 MB) Help with .mp4 files Video 1Transoral EUS-FNA of prevertebral cervical metastasis." @default.
• W2949554057 created "2019-06-27" @default.
• W2949554057 creator A5035413171 @default.
• W2949554057 creator A5082233642 @default.
• W2949554057 date "2019-09-01" @default.
• W2949554057 modified "2023-09-24" @default.
• W2949554057 title "Transoral EUS-guided FNA of prevertebral cervical metastasis" @default.
• W2949554057 cites W1538439862 @default.
• W2949554057 cites W2051524697 @default.
• W2949554057 doi "https://doi.org/10.1016/j.vgie.2019.04.015" @default.
• W2949554057 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6732263" @default.
• W2949554057 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31517163" @default.
• W2949554057 hasPublicationYear "2019" @default.
• W2949554057 type Work @default.
• W2949554057 sameAs 2949554057 @default.
• W2949554057 citedByCount "0" @default.
• W2949554057 crossrefType "journal-article" @default.
• W2949554057 hasAuthorship W2949554057A5035413171 @default.
• W2949554057 hasAuthorship W2949554057A5082233642 @default.
• W2949554057 hasBestOaLocation W29495540571 @default.
• W2949554057 hasConcept C121608353 @default.
• W2949554057 hasConcept C126322002 @default.
• W2949554057 hasConcept C126838900 @default.
• W2949554057 hasConcept C141071460 @default.
• W2949554057 hasConcept C2775934546 @default.
• W2949554057 hasConcept C2776980227 @default.
• W2949554057 hasConcept C2778424827 @default.
• W2949554057 hasConcept C2780390042 @default.
• W2949554057 hasConcept C2780596822 @default.
• W2949554057 hasConcept C2781182431 @default.
• W2949554057 hasConcept C509974204 @default.
• W2949554057 hasConcept C71924100 @default.
• W2949554057 hasConceptScore W2949554057C121608353 @default.
• W2949554057 hasConceptScore W2949554057C126322002 @default.
• W2949554057 hasConceptScore W2949554057C126838900 @default.
• W2949554057 hasConceptScore W2949554057C141071460 @default.
• W2949554057 hasConceptScore W2949554057C2775934546 @default.
• W2949554057 hasConceptScore W2949554057C2776980227 @default.
• W2949554057 hasConceptScore W2949554057C2778424827 @default.
• W2949554057 hasConceptScore W2949554057C2780390042 @default.
• W2949554057 hasConceptScore W2949554057C2780596822 @default.
• W2949554057 hasConceptScore W2949554057C2781182431 @default.
• W2949554057 hasConceptScore W2949554057C509974204 @default.
• W2949554057 hasConceptScore W2949554057C71924100 @default.
• W2949554057 hasIssue "9" @default.
• W2949554057 hasLocation W29495540571 @default.
• W2949554057 hasLocation W29495540572 @default.
• W2949554057 hasLocation W29495540573 @default.
• W2949554057 hasLocation W29495540574 @default.
• W2949554057 hasOpenAccess W2949554057 @default.
• W2949554057 hasPrimaryLocation W29495540571 @default.
• W2949554057 hasRelatedWork W2017705908 @default.
• W2949554057 hasRelatedWork W2285339871 @default.
• W2949554057 hasRelatedWork W2414561108 @default.
• W2949554057 hasRelatedWork W2796078907 @default.
• W2949554057 hasRelatedWork W2897376537 @default.
• W2949554057 hasRelatedWork W2898095315 @default.
• W2949554057 hasRelatedWork W2909684152 @default.
• W2949554057 hasRelatedWork W3199088926 @default.
• W2949554057 hasRelatedWork W4212799415 @default.
• W2949554057 hasRelatedWork W4283373572 @default.
• W2949554057 hasVolume "4" @default.
• W2949554057 isParatext "false" @default.
• W2949554057 isRetracted "false" @default.
• W2949554057 magId "2949554057" @default.
• W2949554057 workType "article" @default.