Enlarging mediastinal/hilar lymphadenopathy with calcification

Takashi Adachi; Masashi Nakahata; Suzuko Moritani; Hiroatsu Iida; Kenji Ogawa

doi:10.1002/ccr3.451

Enlarging mediastinal/hilar lymphadenopathy with calcification

Clin Case Rep. 2015 Dec 9;4(2):212-3. doi: 10.1002/ccr3.451. eCollection 2016 Feb.

Authors

Takashi Adachi¹, Masashi Nakahata², Suzuko Moritani³, Hiroatsu Iida⁴, Kenji Ogawa¹

Affiliations

¹ Department of Respiratory Medicine National Hospital Organization Higashinagoya National Hospital 5-101 Umemorizaka, Meito-ku Nagoya Aichi 468-8620 Japan.
² Department of Infectious Disease Medicine National Hospital Organization Nagoya Medical Center 4-1-1 Sannomaru, Naka-ku Nagoya 460-0001 Japan.
³ Department of Advanced Diagnosis Division of Pathology National Hospital Organization Nagoya Medical Center Nagoya Japan.
⁴ Department of Haematology National Hospital Organization Nagoya Medical Center Nagoya Japan.

Abstract

A 77-year-old man was referred to our hospital due to enlarging mediastinal/hilar lymphadenopathy with calcification. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and bone marrow aspiration were performed. Subsequently, monoclonal gammopathy of undetermined significance (MGUS) associated with mediastinal amyloidosis was diagnosed. We hereby report a case in which EBUS-TBNA led to a successful diagnosis of amyloidosis.

Keywords: endobronchial ultrasound‐guided transbronchial needle aspiration; mediastinal/hilar amyloidosis.