Hospital: Thoraxklinik, University of Heidelberg, Germany
Disclaimer:
- TXI™ Technology is not intended to replace histopathological sampling as a means of diagnosis
- The positions and statements made herein by Dr. Herth’s are based on Dr. Herth’s experiences, thoughts and opinions. As with any product, results may vary, and the techniques, instruments, and settings can vary from facility to facility. The content hereof should not be considered as a substitute for carefully reading all applicable labeling, including the Instructions for Use. Please thoroughly review the relevant user manual(s) for instructions, risks, warnings, and cautions. Techniques, instruments, and setting can vary from facility to facility. It is the clinician’s decision and responsibility in each clinical situation to decide which products, modes, medications, applications, and settings to use.
- The EVIS X1™ endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. Complete indications, contraindications, warnings, and cautions are available in the Instructions for Use (IFU)
- Dr Herth, the authoring physician(s) of this presentation, are/ is a paid consultant(s) to Olympus Corporation.
Scope: BF-1TH1100
Patient information:
63 years old male
Active smoker
Arterial blood pressure
Diabetes type II
Coronary arterty disease
COPD IIID
Medical history:
Hemopytsis (mild) since several weeks
Computertomographie showed emphesymatic changings, no nodule or enlarged nodes
1. WLI
In white light an abnormal mucosa in front of the take off of the right upper lobe is visible.
2. TXI™ Technology
In TXI™ Technology the borders are clearer and the pathological vessels at the corner become visible.
3. TXI™ Technology
Here the border between the normal and abnormal mucosa is nicely seen.
Pathological Finding
The lesion was biopsied and a squamous cancer was detected. In the same session a radial EBUS was performed, showing a restriction of the cancer to the bronchial wall. Therefore, a carcinoma in situ was diagnosed.
With the help of TXI™ Technology the endoluminal borders were visible as well as the malignant vasculary pattern.
Overall Comment
With the help of TXI™ Technology the extent of the changings was more identifiable and the local staging with radial EBUS was more precise compared to white light imaging.
With this information the tumor board was able to recommend a local endoscopic treatment (high dose radiotherapy) due to the comorbidities.
* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer
- Keyword
- Content Type
