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Case Report – Early Cancer (CIS)

Author: Prof. Felix JF Herth, MD, PhD, DSc, Thoraxklinik, University of Heidelberg, Germany
Ralf Eberhardt, MD, PhD, Thoraxklinik, University of Heidelberg, Germany

 

Source: DVD-ROM ‘Endoscopic Ultrasound – Diagnostics and Staging of Lung Cancer’, Olympus Europa SE & Co. KG, 2013

Source:

DVD-ROM ‘Endoscopic Ultrasound – Diagnostics and Staging of Lung Cancer’,
Olympus Europa SE & Co. KG, 2013

Modality:

EBUS with a radial ultrasound miniature probe

Patient History

46 years, smoker (40 pack years) with mild hemoptysis.


X-ray
Normal [fig 1].

CT
Normal [fig 2].

Initial Bronchoscopy
Normal.

 

Sputum Cytology
suspicious for NSCLC.

Videobronchoscopy
Consecutive videobronchoscopy in pulmonary center showed suspicious mucosa structures.
Descriptive EBUS with radial scanning miniature probe reveals microinvasive cancer [fig 3,4].

Histology
NSCLC [fig 5].

Stage
Tis.


Therapy
Right upper lobe lobectomy.


Benefit
Detection of the cancer. Proper staging.
Correct therapy decision. Better survival rate.