PT  - JOURNAL ARTICLE
AU  - Sehnaz Olgun
AU  - Emine Bozkurtlar
AU  - Derya Kocakaya
AU  - Huseyin Arıkan
AU  - Emel Eryuksel
AU  - Berrin Ceyhan
AU  - Sait Karakurt
TI  - Primary nodal anthracosis identified by EBUS-TBNA as a cause of high PET-CT FDG uptake in mediastinal lymph nodes: case series
AID  - 10.1183/13993003.congress-2018.PA1185
DP  - 2018 Sep 15
TA  - European Respiratory Journal
PG  - PA1185
VI  - 52
IP  - suppl 62
4099  - http://erj.ersjournals.com/content/52/suppl_62/PA1185.short
4100  - http://erj.ersjournals.com/content/52/suppl_62/PA1185.full
SO  - Eur Respir J2018 Sep 15; 52
AB  - Isolated mediastinal lymphadenopathy can result from many potentially serious etiologies. Carbon accumulation in the lymph nodes is more common in the intrapulmonary lymph nodes and may result in growth and mass-like appearance in the lymph nodes. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become an important tool to assess mediastinal lymph nodes. 132 cases who had been performed EBUS-FNAB in our clinic between October 2016 and January 2018 were screened retrospectively. Of the 12 patients who had anthracosis, 3 patients were excluded due to the secondary diagnosis and the data of 9 patients with isolated anthracosis were evaluated. Six patients (66.7%) were male, median age was 63 years and median BMI was 26.6 kg / m2. Seven of the patients had cigarette smoking (6 ex-smoker, 1 active smoker) median package/year was 7. Additionally, 4 patients had occupational history of coal mining and 3 patients had biomass exposure (> 10 years). The median size of lymph nodes detected in PET-CT was 20 mm while median maximum standard uptake value (SUVmax) was found to be 8.7. Anthracosis by itself may cause mediastinal enlargement and significantly high PET-CT uptakes. In these cases, EBUS-FNAB can be used as a minimally invasive diagnostic procedureFootnotesCite this article as: European Respiratory Journal 2018 52: Suppl. 62, PA1185.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).