Enhancing diagnostic precision: Electromagnetic navigation bronchoscopy with cryobiopsy in pulmonary and mediastinal lesions – A case study

Author:

Kordykiewicz Dawid1ORCID,Szaj Monika2,Pieróg Jarosław1,Ptaszyński Konrad3,Grodzki Tomasz1,Wójcik Janusz1,Szymański Jacek2,Witkiewicz Karina2,Wojtyś Małgorzata Edyta1

Affiliation:

1. Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland

2. Regional Hospital for Lung Diseases, Szczecin, Poland

3. Department of Pathology and Forensic Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland

Abstract

IntroductionA minimally invasive approach in the diagnosis of peripheral pulmonary lesions may pose a challenge for thoracic surgeons when selecting the most appropriate technique. Electromagnetic navigation bronchoscopy (ENB) is an innovative technique used in the diagnosis of lung tumors.AimEvaluation of the merits of ENB in patient manifesting undiagnosed pulmonary and mediastinal lesions, while concurrently investigating its influence on the determination of the ultimate therapeutic strategy.Case studyThe 73-year-old male patient with a suspicious lung mass was admitted to the hospital for diagnosis and subsequent treatment. The patient underwent an invasive diagnosis of lung and mediastinum using ENB with cryobiopsy. The histopathological examination revealed adenocarcinoma and lymphoma cells, ultimately guiding the initiation of appropriate therapeutic measures.Results and DiscussionAmong the available methods, those with the highest diagnostic yield and safety should be chosen. Precise diagnosis of pulmonary lesions holds paramount importance for guiding appropriate treatment in cases of suspected malignancy.ConclusionsENB with cryobiopsy proves effective diagnosis in case of peripheral lesions that are difficult to access for classical techniques.

Publisher

Collegium Medicum, University of Warmia and Mazury

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