Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA

The most common cause of asymptomatic anterior mediastinal mass in young patient is thymoma. We present an unusual case of asymptomatic anterior mediastinal mass in a young male who was incidentally discovered to have aggressive precursor T-cell adult lymphoblastic lymphoma (T-ALL). Routine bronchos...

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Main Authors: Deepak Prajapat, Rahul Kumar Sharma, Deepak Talwar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:The Journal of Association of Chest Physicians
Subjects:
Online Access:http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2018;volume=6;issue=2;spage=68;epage=71;aulast=Prajapat
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author Deepak Prajapat
Rahul Kumar Sharma
Deepak Talwar
author_facet Deepak Prajapat
Rahul Kumar Sharma
Deepak Talwar
author_sort Deepak Prajapat
collection DOAJ
description The most common cause of asymptomatic anterior mediastinal mass in young patient is thymoma. We present an unusual case of asymptomatic anterior mediastinal mass in a young male who was incidentally discovered to have aggressive precursor T-cell adult lymphoblastic lymphoma (T-ALL). Routine bronchoscopy and transthoracic needle aspiration were noncontributory, and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) provided the adequate amount of tissue for histopathology and immunohistochemistry, thus establishing the diagnosis of T-ALL. Our case highlights T-cell lymphoma as a cause of silent anterior mediastinal mass and the potential role of EBUS-TBNA as safe and relatively less invasive modality to obtain tissue for pathological diagnosis and saved the patient from potential thoracotomy/mediastinoscopy.
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spelling doaj.art-93c4c38ab8ae4a738b6dbd55f45c8f112022-12-21T19:43:39ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752320-90892018-01-0162687110.4103/jacp.jacp_13_17Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNADeepak PrajapatRahul Kumar SharmaDeepak TalwarThe most common cause of asymptomatic anterior mediastinal mass in young patient is thymoma. We present an unusual case of asymptomatic anterior mediastinal mass in a young male who was incidentally discovered to have aggressive precursor T-cell adult lymphoblastic lymphoma (T-ALL). Routine bronchoscopy and transthoracic needle aspiration were noncontributory, and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) provided the adequate amount of tissue for histopathology and immunohistochemistry, thus establishing the diagnosis of T-ALL. Our case highlights T-cell lymphoma as a cause of silent anterior mediastinal mass and the potential role of EBUS-TBNA as safe and relatively less invasive modality to obtain tissue for pathological diagnosis and saved the patient from potential thoracotomy/mediastinoscopy.http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2018;volume=6;issue=2;spage=68;epage=71;aulast=PrajapatAnterior mediastinal massendobronchial ultrasound guided transbronchial needle aspirationT-cell adult lymphoblastic lymphoma
spellingShingle Deepak Prajapat
Rahul Kumar Sharma
Deepak Talwar
Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
The Journal of Association of Chest Physicians
Anterior mediastinal mass
endobronchial ultrasound guided transbronchial needle aspiration
T-cell adult lymphoblastic lymphoma
title Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
title_full Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
title_fullStr Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
title_full_unstemmed Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
title_short Silent Sinistrous Asymptomatic Anterior Mediastinal Mass Diagnosed With EBUS-TBNA
title_sort silent sinistrous asymptomatic anterior mediastinal mass diagnosed with ebus tbna
topic Anterior mediastinal mass
endobronchial ultrasound guided transbronchial needle aspiration
T-cell adult lymphoblastic lymphoma
url http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2018;volume=6;issue=2;spage=68;epage=71;aulast=Prajapat
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AT deepaktalwar silentsinistrousasymptomaticanteriormediastinalmassdiagnosedwithebustbna