Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Ann Thorac Surg. 2019 Jan;107(1):e5-e7. doi: 10.1016/j.athoracsur.2018.05.046. Epub 2018 Jun 15.
Obtaining biopsy specimens for pathologic diagnosis of primary cardiac tumors is challenging because of their anatomic location and the risk of tumor embolization. Due to the difficulty of histologic diagnosis and limited treatment strategies, it is not uncommon for patients to be treated based on radiologic findings alone. However, a firm pathologic diagnosis may permit more appropriate treatment selection, especially for those with primary cardiac lymphoma. Endoscopic ultrasound with bronchoscope-guided fine-needle aspiration is a minimally invasive modality for sampling mediastinal lymph nodes and mediastinal lesions adjacent to the esophagus. In this case report we present 2 patients with cardiac tumors that were successfully and safely diagnosed by endoscopic ultrasound with bronchoscope-guided fine-needle aspiration.
获取原发性心脏肿瘤的病理诊断活检标本具有挑战性，因为它们的解剖位置和肿瘤栓塞的风险。由于组织学诊断困难且治疗策略有限，仅凭影像学发现进行治疗的情况并不少见。然而，明确的病理诊断可能允许更适当的治疗选择，特别是对于原发性心脏淋巴瘤患者。支气管镜引导下超声内镜细针抽吸术是一种用于取样纵隔淋巴结和食管邻近纵隔病变的微创方式。在本病例报告中，我们介绍了 2 例通过支气管镜引导下超声内镜细针抽吸术成功和安全诊断的心脏肿瘤患者。
