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Table 1 Clinical, radiographic and demographic features of nine patients with suspected cancer recurrence in whom endobronchial ultrasound transbronchial needle aspiration detected granulomatous inflammation.

From: Clinical implications of granulomatous inflammation detected by endobronchial ultrasound transbronchial needle aspiration in patients with suspected cancer recurrence in the mediastinum

Age Sex Race

Oncological History Remission (yrs since initial diagnosis)

Chemotherapy

Lymph node Characteristics

Granuloma at other sites

Microbiologic Studies*

Treatment

Follow-up (months)

   

Station [8]

Size mm

PET +ve

 

Culture (n)

Staining

Serology

  

1

56F

C

Breast Cancer

Neadjuvant

Chemotherapy

Paclitaxel

Lapatinib

7

11R

14

7

-

No

P

N

N

MAC

Infection

Rifabutin

Ethambutol

Clarithromycin

Radiographical and clinical improvement on antimycobacterial therapy

2

28F

C

Melanoma

(2)

No

4R

7

7

13

-

No

N (1)

N

-

None

No symptoms (11)

3

49M

H

Hodgkin's

Lymphoma

Stage 1a

(8)

No

11R

14

Yes

No

N (2)

N

-

None

No symptoms

Node PET uptake and CT size reduced (6)

4

56F

AA

GI Stromal Tumor

(1)

Imatimib

4R

17

-

TBBX**

N (1)

N

-

Inhaled

Fluticasone

Productive Cough

Progressive Pulmonary Infiltrates (12)

5

61F

C

NSCLC

T2N2M0

(1)

Carboplatin

Docetaxel

11R

9

Yes

No

N (1)

N

-

Inhaled

Fluticasone

Chronic cough

Stable CT-PET (6)

6

63M

C

Melanoma

(4)

No

2R

7

10

11

Yes

Yes

Lymphocytic Meningitis**

N (3)

N

N

Prednisone

For neurosarcoidosis

Neurological Symptoms

No pulmonary symptoms

Node PET uptake and CT size reduced (15)

7

66M

C

Multiple Myeloma

(3)

Melphalan

Thalidomide

Lenalidomide

11R

11

Yes

EBBX**

TBBX

N (2)

N

N

None

No symptoms

Stable CT-PET (8)

8

68F

AA

Endometrial Cancer

(2)

Docetaxel

Carboplatin

Imatimib

7

11R

13

10

Yes

Yes

No**

N (1)

N

-

None

No symptoms

Stable CT-PET

Intraabdominal cancer Recurrence (9)

9

77M

C

Colorectal Cancer

(3)

Cisplatin

Capecitabine

7

10

-

No**

N (2)

N

-

None

No symptoms

Stable CT (10)

  1. * Fungal and mycobacterial cultures (bronchoalveolar lavage or bronchial wash or sputum), tissue staining for fungi and acid fast bacilli (AFB), and serum fungal antibody titers.
  2. ** Pulmonary parenchymal involvement on high resolution CT.
  3. AA = African American, AFB = acid fast bacilli, BAL = bronchoalveolar lavage, C = Caucasian, CT = computed tomography, EBBX = endobronchial biopsy, EBUS = endobronchial ultrasound, F = female, GI = gastrointestinal, H = Hispanic, M = male, MAC = Mycobacterium avium intracellulare infection, N = negative, P = positive, PET = positron emission tomography, TBBX = transbronchial biopsy, Yrs = years