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A 78-year-old man was referred to our hospital to study a pulmonary nodule in the left lower lobe, suspicious for malignancy. An endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was carried out for the study, during the procedure samples were taken from lymph node stations 4R (lower paratracheal right), 7 (subcarinal) and 11 L (interlobar left) using a 22-gauge needle. The histological results ruled out lymph node involvement. There were no immediate complications, however, the patient developed a dry cough 72 hours after the procedure.
After assessment by the multidisciplinary lung tumour committee, mediastinoscopy and excision of the lesion were decided, however, the patient rejected this treatment option, …
Contributors AG: bronchoscopist., writing and technical editing of the manuscript. CL: review of the images proposed in the article and participant in the writing process. MG: critically reviewed the study proposal.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.