Andreo García Felipe, Centeno Clemente Carmen Ángela, Sanz Santos José, Barturen Barroso Ángel, Hernández Gallego Alba, Ruiz Manzano Juan
Servicio de Neumología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina, Universidad Autónoma de Barcelona, Barcelona, España.
Servicio de Neumología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
Arch Bronconeumol. 2015 Feb;51(2):e8-e11. doi: 10.1016/j.arbres.2014.04.008. Epub 2014 Oct 31.
Real-time elastography performed during endoscopic ultrasonography is a relatively new method for characterizing tissue stiffness, and has been used successfully as a predictor of malignancy in mediastinal lymph nodes. This case report describes our practical experience with this technique using an ultrasound bronchoscope to examine mediastinal lymph nodes. We present a case of sectorial endobronchial ultrasound and the first published case of endoscopic ultrasound elastography using ultrasound bronchoscope in two patients with non-small cell lung carcinoma. Qualitative tissue color pattern was obtained in both cases and correlated with pathological evaluation. The initial feasibility results are promising and suggest that ultrasound bronchoscopy techniques, such as guided nodal staging, merit additional studies. It may be important to categorize the risk of malignancy to facilitate sampling decisions.
内镜超声检查时进行的实时弹性成像术是一种用于表征组织硬度的相对较新的方法，已成功用作纵隔淋巴结恶性肿瘤的预测指标。本病例报告描述了我们使用超声支气管镜检查纵隔淋巴结的这项技术的实际经验。我们报告一例扇形支气管内超声检查病例，以及两例非小细胞肺癌患者中首例使用超声支气管镜进行内镜超声弹性成像术的已发表病例。两例均获得了定性组织颜色模式，并与病理评估相关。初步可行性结果很有前景，表明超声支气管镜检查技术，如引导性淋巴结分期，值得进一步研究。对恶性肿瘤风险进行分类以促进取样决策可能很重要。
