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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2018  |  Volume : 35  |  Issue : 3  |  Page : 241-244

Vintage meets contemporary: Use of rigid TBNA in the era of real-time imaging – first report from India


1 Department of Pulmonary Medicine, SGPGIMS, Lucknow, Uttar Pradesh, India
2 Department of Radiodiagnosis, SGPGIMS, Lucknow, Uttar Pradesh, India
3 Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh, India
4 Department of Anesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Ajmal Khan
Department of Pulmonary Medicine, SGPGIMS, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/lungindia.lungindia_418_17

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In the modern era, real-time imaging-guided transbronchial needle aspiration (TBNA) has completely replaced the traditional surgical approaches to sample the mediastinal lesions for diagnosis and cancer staging. However, there is a limited role of these innovations in the presence of critical airway narrowing due to a further decrease in cross-sectional area of the airway proportionate to the outer diameters of the scope. Rigid TBNA with airway control by rigid bronchoscopy is one alternative which can be used for mediastinal sampling when modern technique is impracticable. Herein, we report the use of rigid TBNA, an underutilized old method to sample the mediastinal lesion in a patient with severe orthopnea secondary to tracheal compression by mediastinal mass.


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