Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour

Background Cardiac tumors are rare, and a nonsurgical diagnosis is preferred for determining appropriate treatment strategies.Research Question Can Endobronchial ultrasound-guided cryobiopsy (EBUS-cryo) be useful for diagnosing cardiac tumors?Study Design and Methods This paper presents a case repor...

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Main Authors: Toshiyuki Nakai, Atsushi Miyamoto, Mana Ogawa, Akimasa Morisaki, Nobuhiro Izumi, Sayaka Tanaka
Format: Article
Language:English
Published: Taylor & Francis 2025-12-01
Series:Pulmonology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/25310429.2025.2458368
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author Toshiyuki Nakai
Atsushi Miyamoto
Mana Ogawa
Akimasa Morisaki
Nobuhiro Izumi
Sayaka Tanaka
author_facet Toshiyuki Nakai
Atsushi Miyamoto
Mana Ogawa
Akimasa Morisaki
Nobuhiro Izumi
Sayaka Tanaka
author_sort Toshiyuki Nakai
collection DOAJ
description Background Cardiac tumors are rare, and a nonsurgical diagnosis is preferred for determining appropriate treatment strategies.Research Question Can Endobronchial ultrasound-guided cryobiopsy (EBUS-cryo) be useful for diagnosing cardiac tumors?Study Design and Methods This paper presents a case report on the successful diagnosis of a rare cardiac tumor using EBUS-cryo. A 60-year-old woman was referred to our hospital after echocardiography revealed an epicardial tumor compressing the bilateral atria. Computed tomography revealed a 90-mm cardiac tumor adjacent to the tracheal bifurcation compressing the surrounding large vessels. Endobronchial ultrasound-guided cryobiopsy (EBUS-cryo) was performed, and a histological diagnosis of schwannoma, a type of peripheral nerve sheath tumor (PNST), was made without severe complications. Surgical resection was performed, and the tumor was found to originate from the pericardium on the left atrial wall.Results The surgical specimens contained small areas of perineurioma in addition to schwannoma, leading to the final diagnosis of extremely rare hybrid PNST.Conclusion EBUS-cryo can be one of useful biopsy techniques for diagnosing cardiac tumors.
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publishDate 2025-12-01
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series Pulmonology
spelling doaj-art-120160951ec74a0aa257c2fe959209b92025-02-05T10:41:27ZengTaylor & FrancisPulmonology2531-04292531-04372025-12-0131110.1080/25310429.2025.2458368Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumourToshiyuki Nakai0Atsushi Miyamoto1Mana Ogawa2Akimasa Morisaki3Nobuhiro Izumi4Sayaka Tanaka5Department of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanDepartment of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanDepartment of Cardiovascular Medicine, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanDepartment of Cardiovascular Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanDepartment of Thoracic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanDepartment of Pathology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanBackground Cardiac tumors are rare, and a nonsurgical diagnosis is preferred for determining appropriate treatment strategies.Research Question Can Endobronchial ultrasound-guided cryobiopsy (EBUS-cryo) be useful for diagnosing cardiac tumors?Study Design and Methods This paper presents a case report on the successful diagnosis of a rare cardiac tumor using EBUS-cryo. A 60-year-old woman was referred to our hospital after echocardiography revealed an epicardial tumor compressing the bilateral atria. Computed tomography revealed a 90-mm cardiac tumor adjacent to the tracheal bifurcation compressing the surrounding large vessels. Endobronchial ultrasound-guided cryobiopsy (EBUS-cryo) was performed, and a histological diagnosis of schwannoma, a type of peripheral nerve sheath tumor (PNST), was made without severe complications. Surgical resection was performed, and the tumor was found to originate from the pericardium on the left atrial wall.Results The surgical specimens contained small areas of perineurioma in addition to schwannoma, leading to the final diagnosis of extremely rare hybrid PNST.Conclusion EBUS-cryo can be one of useful biopsy techniques for diagnosing cardiac tumors.https://www.tandfonline.com/doi/10.1080/25310429.2025.2458368Bronchoscopyendobronchial ultrasound-guided cryobiopsy (EBUS-cryo)peripheral nerve sheath tumorcardiac tumor
spellingShingle Toshiyuki Nakai
Atsushi Miyamoto
Mana Ogawa
Akimasa Morisaki
Nobuhiro Izumi
Sayaka Tanaka
Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
Pulmonology
Bronchoscopy
endobronchial ultrasound-guided cryobiopsy (EBUS-cryo)
peripheral nerve sheath tumor
cardiac tumor
title Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
title_full Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
title_fullStr Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
title_full_unstemmed Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
title_short Endobronchial ultrasound-guided cryobiopsy of a rare epicardial tumour
title_sort endobronchial ultrasound guided cryobiopsy of a rare epicardial tumour
topic Bronchoscopy
endobronchial ultrasound-guided cryobiopsy (EBUS-cryo)
peripheral nerve sheath tumor
cardiac tumor
url https://www.tandfonline.com/doi/10.1080/25310429.2025.2458368
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