Kanzaki M, Adachi K, Takuma K, Matsumoto J, Obara T, Miyano Y, Sasano S
Department of Thoracic Surgery, Tokyo Metropolitan Fuchu Hospital, Fuchu, Japan.
Kyobu Geka. 2007 Sep;60(10):910-4.
The patient was a 54-year-old female with both headache and vomit presented to the emergency room. Endoscopic examination revealed an advanced esophageal cancer located on the middle thoracic esophagus. Histological analysis revealed squamous cell carcinoma. The clinical stage was diagnosed as T4N2M0 and this case was treated by the chemoradiation. She presented progressive moist cough after chemoradiotherapy. Esophagography demonstrated esophago-bronchial fistula (EBF). EBF was not detected by routine broncoscopy. To confirm fistula, we were performed the bronchoscopy which utilized an indocyanine green. Contrast media colored green were over from the superior segmental bronchus in a bronchoscope. The bronchoscope which utilized an indocyanine green is effective for EBF.
该患者为一名54岁女性,因头痛和呕吐前往急诊室就诊。内镜检查发现中胸段食管存在进展期食管癌。组织学分析显示为鳞状细胞癌。临床分期诊断为T4N2M0,该病例接受了放化疗。放化疗后她出现进行性湿性咳嗽。食管造影显示食管支气管瘘(EBF)。常规支气管镜检查未发现EBF。为了确认瘘管,我们进行了使用吲哚菁绿的支气管镜检查。在支气管镜检查中,绿色的造影剂从上叶段支气管溢出。使用吲哚菁绿的支气管镜检查对EBF有效。