ORCID

0000-0002-2231-3564 (Admire)

Document Type

Article

Publication Date

2026

DOI

10.1136/bcr-2025-268157

Publication Title

BMJ Case Reports

Volume

19

Issue

1

Pages

e268157 (1-4)

Abstract

Tumours within the pulmonary arteries provide a diagnostic challenge due to their similar appearance to pulmonary emboli. Often, the decision to sample is multidisciplinary and the best approach to take is often unknown. Here we describe a case of urothelial carcinoma which metastasised to the mediastinum with evidence of tumour burden within the pulmonary artery. Sampling of this by endovascular and thoracoscopic means was unsuccessful; however, we were able to provide a diagnosis using direct visualization with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). This report is the first of a central pulmonary artery tumour caused by urothelial carcinoma biopsied by EBUS-TBNA in the English literature. We describe the diagnostic challenges and steps in evaluating suspected tumour emboli with a focus on transbronchial needle aspiration.

Rights

© BMJ Publishing group Limited 2026.

Re- use permitted under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License. 

Original Publication Citation

Admire, K., & Gegick, S. (2026). Transvascular endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to confirm urothelial carcinoma metastasis to the pulmonary artery. BMJ Case Reports, 19(1), 1-4, Article e268157. https://doi.org/10.1136/bcr-2025-268157

Download

Share

COinS