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Endoscopic Ultrasound/Fine-Needle Aspiration Diagnosis of a Malignant Subcarinal Lymph Node in a Patient With Lung Cancer and a Negative Positron Emission Tomography Scan*

Jana M. Rosenberg, MD; Anthony Perricone, MD, FCCP; Thomas J. Savides, MD
Author and Funding Information

*From the Divisions of Gastroenterology (Drs. Rosenberg and Savides) and Cardiothoracic Surgery (Dr. Perricone), University of California San Diego, San Diego, CA.

Correspondence to: Thomas J. Savides, MD, UCSD Gastroenterology, (8413) 200 West Arbor Dr, San Diego, CA 92103-8413; e-mail: tsavides@ucsd.edu



Chest. 2002;122(3):1091-1093. doi:10.1378/chest.122.3.1091
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Transesophageal, endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) and positron emission tomography (PET) scanning are new modalities for staging non-small cell lung cancer (NSCLC), the roles of which are still being defined. A 78-year-old man with a right lower lobe (RLL) mass and mediastinal adenopathy seen on CT scan had a PET scan that revealed only a RLL hypermetabolic area. EUS/FNA cytology of a subcarinal lymph node (LN) revealed the presence of NSCLC. This is a case of a false-negative PET scan for nodal involvement in NSCLC that was diagnosed with EUS/FNA. Patients with NSCLC and suspicious lymphadenopathy may benefit from EUS/FNA of enlarged posterior mediastinal LNs, even with negative findings of PET scanning.

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