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经支气管超声引导针吸活检术用于肺癌的诊断和分期。

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Diagnosis and Staging of Lung Cancer.

机构信息

Department of Thoracic Medicine, Royal Brisbane and Womens Hospital, Third Floor, James Mayne Building, Butterfield Street, Herston 4029, Australia.

Division of Medical Oncology and Respiratory Medicine, Shimane University Hospital, 89-1, Enyacho, Izumo, Shimane 693-8501, Japan.

出版信息

Clin Chest Med. 2018 Mar;39(1):111-123. doi: 10.1016/j.ccm.2017.11.012.

DOI:10.1016/j.ccm.2017.11.012
PMID:29433708
Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS TBNA) is fundamental to the diagnosis of lung cancer, as many patients present with more advanced stages of lung cancer, with enlarged hilar and mediastinal lymph nodes. It also represents a way to sample pulmonary masses directly to make the diagnosis, whereby no other accessible tissue is present and the mass sits adjacent to a large central airway. Very importantly also, EBUS TBNA is the widely accepted first procedure in lung cancer staging. A combined procedure of EUS TBNA can be performed to improve diagnostic accuracy.

摘要

经支气管超声引导针吸活检术(EBUS-TBNA)是肺癌诊断的基础,因为许多患者的肺癌已处于较晚期,肺门和纵隔淋巴结肿大。对于那些没有其他可获取组织且肿块毗邻较大中央气道的肺部肿块,EBUS-TBNA 也可直接取样进行诊断。同样重要的是,EBUS-TBNA 是广泛接受的肺癌分期的第一步。还可以联合进行 EUS-TBNA 以提高诊断准确性。

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