Preoperative Marking Using Endobronchial Ultrasonography with a Guide-sheath for a Small Pulmonary Nodule: a Case Report

• Published in: The Journal of the Japan Society for Respiratory Endoscopy Vol. 44; no. 6; pp. 437 - 441
• Main Authors: Tsuboi, Mitsuhiro, Imakura, Takeshi, Mori, Ayaka, Inayama, Mami, Miyamoto, Kenya, Matsumoto, Daisuke, Hirose, Toshiyuki, Kakiuchi, Souji, Bandou, Noriko, Haku, Takashi
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society for Respiratory Endoscopy 25.11.2022; 特定非営利活動法人 日本呼吸器内視鏡学会
• Subjects: Bronchoscopic marking; Endobronchial ultrasonography with a guide-sheath (EBUS-GS); Small pulmonary nodule; VATS; ガイドシース併用気管支腔内超音波断層法（EBUS-GS）; 小型肺結節; 気管支鏡下マーキング; 胸腔鏡手術
• ISSN: 0287-2137; 2186-0149
• DOI: 10.18907/jjsre.44.6_437

Background. Various marking techniques for the identification of small impalpable lung nodules have been reported. Case. A 72-year-old man who had undergone surgery for bladder and rectal cancer presented with a solitary small lung tumor located in the right S3 on chest computed tomography (CT). Due to tumor enlargement, it was suspected to be metastatic; thus, surgery was performed. Because the tumor was located near the B3bi, we performed presurgical coil marking using an endobronchial ultrasonography with a guide-sheath. During surgery, we identified the marking coil using X-ray fluoroscopy and subsequently resected the target tumor and marking coil. Conclusion. This method was safe and useful for marking small impalpable lung nodules.