超声支气管镜引导下经支气管针吸活检术治疗甲状腺囊肿：一例报告
Endobronchial ultrasound-guided transbronchial needle aspiration for thyroid cyst therapy: A case report.
作者信息
Li Peng, Zheng Wei, Liu Hongbo, Zhang Zhenyong, Zhao Li
机构信息
Department of Respiratory Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, P.R. China.
Department of Medical Oncology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110022, P.R. China.
出版信息
Exp Ther Med. 2017 May;13(5):1944-1947. doi: 10.3892/etm.2017.4213. Epub 2017 Mar 9.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is of limited usefulness for diagnosing thyroid disease, and few studies have reported its use in diagnosing and treating thyroid cysts. The present study investigated a unique case of diagnosis and treatment of a thyroid cyst by EBUS-TBNA. A 67-year-old male presented with back pain. Positron emission tomography/computed tomography scanning revealed low-density signals in the right lobe of the thyroid. Needle aspiration biopsies and drainage at this site was performed, and EBUS was used for guidance in diagnosing the thyroid cyst. A follow-up chest computed tomography scan indicated that the thyroid lesion had subsequently disappeared. The present study concludes that EBUS-TBNA provides an alternative approach for diagnosing and treating deep thyroid cysts located close to the airway. In all other cases, percutaneous needle aspiration or surgery should be the first choice.
支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）在诊断甲状腺疾病方面作用有限，鲜有研究报道其在甲状腺囊肿诊断和治疗中的应用。本研究探讨了1例采用EBUS-TBNA诊断和治疗甲状腺囊肿的独特病例。1名67岁男性因背痛就诊。正电子发射断层扫描/计算机断层扫描显示甲状腺右叶有低密度信号。在此部位进行了针吸活检和引流，并使用EBUS引导诊断甲状腺囊肿。胸部计算机断层扫描随访显示，甲状腺病变随后消失。本研究得出结论，EBUS-TBNA为诊断和治疗靠近气道的深部甲状腺囊肿提供了一种替代方法。在所有其他情况下，经皮针吸活检或手术应作为首选。
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