Interventional Pulmonology Division, University of California, San Diego Medical Center, San Diego, California.
Interventional Pulmonology Division, University of California, San Diego Medical Center, San Diego, California.
Ann Thorac Surg. 2014 May;97(5):e139-41. doi: 10.1016/j.athoracsur.2013.12.083.
We present the case of an 84-year-old man with nonmassive hemoptysis and an obstructing endobronchial mass who was referred for rigid bronchoscopy and biopsy of the lesion. We illustrate how the pulsatile movement of his endobronchial lesion could be differentiated by convex probe endobronchial ultrasound bronchoscopy to be a vascular lesion rather than an endobronchial mass or tumor. Although convex probe endobronchial ultrasonography has many mediastinal applications, it has yet to be used to characterize endobronchial masses. We describe the first case of using convex probe endobronchial ultrasonography in the diagnosis of a left upper lobe pulmonary artery aneurysm presenting as an endobronchial mass.
我们报告了一例 84 岁男性患者，表现为非大量咯血和阻塞性支气管内肿块，转来行硬性支气管镜检查和病变活检。我们展示了凸面探头支气管内超声支气管镜检查如何通过病变的搏动运动将其区分开来，使其成为血管性病变而不是支气管内肿块或肿瘤。尽管凸面探头支气管内超声检查在纵隔中有许多应用，但尚未用于描述支气管内肿块。我们描述了首例使用凸面探头支气管内超声检查诊断左肺上叶肺动脉瘤表现为支气管内肿块的病例。
