Department of Thoracic Disease, Chiba Cancer Center, Chiba, Japan.
Ann Thorac Surg. 2013 Aug;96(2):e33-5. doi: 10.1016/j.athoracsur.2013.01.080.
Pulmonary artery sarcoma (PAS) is a rare tumor that is often detected at an advanced stage, when disease is so widespread that a radical surgical procedure is no longer indicated. Therefore, less invasive biopsy techniques are required to establish a definitive preoperative diagnosis. Endobronchial ultrasound (EBUS) is useful for producing real-time images of both lymph nodes and the interior of pulmonary arteries adjacent to the bronchi. We report a case with masslike lesions in the pulmonary artery that were observed by EBUS and from which tissue was obtained by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to establish a diagnosis of PAS.
肺动脉肉瘤(PAS)是一种罕见的肿瘤,通常在晚期才被发现,此时疾病已经广泛扩散,根治性手术已不再适用。因此,需要采用创伤较小的活检技术来明确术前诊断。支气管内超声(EBUS)可实时显示支气管旁的淋巴结和肺动脉内部情况。我们报告了一例 EBUS 观察到的肺动脉肿块样病变,并通过支气管内超声引导经支气管针吸活检(EBUS-TBNA)获取组织,从而确诊为 PAS。