Kellermann U, Kobinia G, Binder K, Schuster A, Wieser O
Lungenabteilung, Landeskrankenhaus, Klagenfurt.
Wien Med Wochenschr. 1991;141(3):39-40.
To confirm the diagnosis of sarcoidosis a characteristic X-ray and a positive histologic pattern is essential. In most cases one can get the histology by a rather simple bronchoscopy. In cases of negative bronchoscopic findings one should perform a mediastinoscopy, which can be done by an expert thoracic surgeon almost on outpatient basis. In rare cases the final diagnostic step is the open lung biopsy, preferably done on the right thoracic side, as the lung transplanting surgeons recommend for a possible lung transplant the left side.
要确诊结节病，特征性的X线表现和阳性组织学模式至关重要。在大多数情况下，通过相当简单的支气管镜检查即可获得组织学样本。若支气管镜检查结果为阴性，则应进行纵隔镜检查，这几乎可以由专业胸外科医生在门诊完成。在极少数情况下，最后的诊断步骤是开胸肺活检，最好在右侧胸进行，因为肺移植外科医生建议，如果可能进行肺移植，应保留左侧肺。
