Division of Thoracic Diseases, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, Chiba, 260-8717, Japan.
Surg Today. 2011 Jul;41(7):983-5. doi: 10.1007/s00595-010-4375-0. Epub 2011 Jul 12.
The usefulness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for lymph node staging of lung cancer is well known; however, its utility for the diagnosis of postoperative recurrence remains unclear. Establishing a pathological diagnosis of postoperative intrathoracic recurrence of lung cancer is very difficult because of the anatomical changes that occur after resection. Computed tomography (CT) and/or positron emission tomography (PET) have limitations, as they provide nonpathological information. We report a case of postoperative lymph node recurrence successfully diagnosed using EBUS-TBNA. Repeated EBUS-TBNA also allowed us to evaluate the effectiveness of chemotherapy and radiotherapy, and to follow the patient's clinical course. We report this case to show the usefulness of EBUS-TBNA for making clinical decisions in the management of patients with postoperative recurrence of lung cancer.
经支气管超声引导针吸活检术（EBUS-TBNA）在肺癌淋巴结分期中的作用是众所周知的；然而，其在诊断术后复发中的作用尚不清楚。由于切除后发生的解剖结构变化，肺癌术后胸内复发的病理诊断非常困难。计算机断层扫描（CT）和/或正电子发射断层扫描（PET）具有局限性，因为它们提供的是非病理信息。我们报告了一例成功使用 EBUS-TBNA 诊断的术后淋巴结复发病例。重复的 EBUS-TBNA 还使我们能够评估化疗和放疗的效果，并监测患者的临床过程。我们报告这个病例是为了说明 EBUS-TBNA 在肺癌术后复发患者管理中的临床决策中的有用性。
