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经支气管超声引导下经支气管针吸活检成功诊断胸腺瘤:两例报告

Successful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases.

作者信息

Yoshida Yasushi, Singyoji Masato, Ashinuma Hironori, Itakura Meiji, Iizasa Toshihiko, Tatsumi Koichiro

机构信息

Division of Thoracic Disease, Chiba Cancer Center, Japan.

出版信息

Intern Med. 2015;54(21):2735-9. doi: 10.2169/internalmedicine.54.3486. Epub 2015 Nov 1.

Abstract

We herein report two cases of thymomas diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). In both cases, the tumor was adjacent to the central airway. Therefore, we attempted to perform EBUS-TBNA in order to obtain specimens for a histopathological examination, which resulted in a diagnosis of thymoma. In one case, surgical resection was conducted and the histological evaluation of the resected specimen confirmed thymoma type AB, consistent with the histology from the EBUS-TBNA specimen. As a safe and minimally invasive procedure, EBUS-TBNA may be considered for the diagnosis of mediastinal tumors, including thymoma.

摘要

我们在此报告两例通过支气管内超声引导下经支气管针吸活检术(EBUS-TBNA)诊断的胸腺瘤病例。在这两例病例中,肿瘤均毗邻中央气道。因此,我们尝试进行EBUS-TBNA以获取组织病理学检查标本,最终诊断为胸腺瘤。在其中一例病例中,进行了手术切除,切除标本的组织学评估证实为AB型胸腺瘤,与EBUS-TBNA标本的组织学结果一致。作为一种安全且微创的操作,EBUS-TBNA可用于包括胸腺瘤在内的纵隔肿瘤的诊断。

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