Tsukinaga Shintaro, Imazu Hiroo, Uchiyama Yujiro, Kakutani Hiroshi, Kuramoti Akira, Kato Masayuki, Kanazawa Keisuke, Kobayashi Tsuyoshi, Searashi Yasuyuki, Tajiri Hisao
Department of Endoscopy, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minatoku, Tokyo 105-8461, Japan.
World J Gastroenterol. 2007 Jul 21;13(27):3758-9. doi: 10.3748/wjg.v13.i27.3758.
We report a case of primary sclerosing cholangitis (PSC) with benign lymphadenopathy which was diagnosed with endosonography guided fine needle aspiration (EUS-FNA). A 65-year-old woman was admitted to Jikei University Hospital with severe jaundice. Although endoscopic retrograde cholangiography and liver biopsy revealed the findings consistent with PSC, abdominal computed tomography revealed numerous large perihepatic lymph nodes with a maximum diameter of more than 3 cm. Therefore, EUS-FNA was done in order to exclude malignant lymphadenopathy, and adequate specimens obtained by EUS-FNA showed reactive hyperplasia of lymph node. The patients were scheduled to undergo liver transplantation.
我们报告一例原发性硬化性胆管炎（PSC）合并良性淋巴结病，通过超声内镜引导下细针穿刺抽吸术（EUS-FNA）得以确诊。一名65岁女性因严重黄疸入住慈惠会医科大学医院。尽管内镜逆行胆管造影和肝活检显示的结果与PSC相符，但腹部计算机断层扫描显示肝周有大量肿大淋巴结，最大直径超过3厘米。因此，进行EUS-FNA以排除恶性淋巴结病，EUS-FNA获取的足够标本显示淋巴结呈反应性增生。该患者计划接受肝移植。
