Transesophagealbronchoscopic ultrasound- guided fine-needle aspiration (eus-b-fna) in pediatric mediastinal lymphadenopathy: a case series, and comprehensive review of literature

Background and Aims -Transesophagealbronchoscopic ultrasound-guided fine needle aspiration (EUS-B-FNA), performed using an endobronchial ultrasound (EBUS) bronchoscope is a useful modality for diagnostic evaluation of mediastinal lymphadenopathy. Most of the literature on EUS-B-FNA is limited to adults, with limited studies describing safety and utility in children. We describe a case series of EUS-B-FNA in the pediatric population, with a comprehensive review of literature.
Methods - Three children under the age of 8 years underwent EUS-B-FNA of mediastinal lymp-nodes, with microbiological and histopathological evaluation.
Results - EUS-B-FNA was done successfully without any complications. A definitive diagnosis was obtained in all the patients with no significant adverse effects.
Conclusions - This case series illustrates the role of EUS-B -FNA in the pediatric population, as a feasible, safe and successful minimally invasive procedure.