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用于肺实质病变采样的曲线探头支气管内超声

Curvilinear Probe Endobronchial Ultrasound for Sampling of Parenchymal Lung Lesions.

作者信息

Cushen Breda, Ahmed Mohammed, Flannery Antoinette, Breen David

机构信息

Department of Respiratory Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.

Department of Respiratory Medicine, Interventional Respiratory Unit, Galway University Hospital, Galway, Ireland.

出版信息

J Med Ultrasound. 2018 Jul-Sep;26(3):157-159. doi: 10.4103/JMU.JMU_24_18. Epub 2018 May 7.

DOI:10.4103/JMU.JMU_24_18
PMID:30283203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6159329/
Abstract

Lung cancer is the leading cause of cancer related deaths in most countries. It can frequently be mimicked by other nonmalignant pulmonary lesions; and therefore, in the case of radiologically localized lesions a pathological diagnosis is preferable before proceeding to surgical resection. Curvilinear probe endobronchial ultrasound is widely used to sample lymph nodes, but in this case, we report that it can be beneficial for sampling parenchymal lung lesions not accessible at bronchoscopy in the absence of lymphadenopathy.

摘要

在大多数国家,肺癌是癌症相关死亡的主要原因。它常常可被其他非恶性肺部病变所模仿;因此,对于放射学定位的病变,在进行手术切除之前,病理诊断更为可取。曲线探头支气管内超声广泛用于对淋巴结进行取样,但在本病例中,我们报告其对于在无淋巴结病情况下支气管镜检查无法触及的肺实质病变进行取样可能有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbfe/6159329/cc5e956e167b/JMU-26-157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbfe/6159329/cc5e956e167b/JMU-26-157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbfe/6159329/cc5e956e167b/JMU-26-157-g001.jpg

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本文引用的文献

1
Complications, consequences, and practice patterns of endobronchial ultrasound-guided transbronchial needle aspiration: Results of the AQuIRE registry.经支气管超声引导针吸活检术的并发症、后果和实践模式:AQuIRE 登记研究结果。
Chest. 2013 Apr;143(4):1044-1053. doi: 10.1378/chest.12-0350.
2
Early stage and locally advanced (non-metastatic) non-small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.早期及局部晚期(非转移性)非小细胞肺癌:ESMO临床诊断、治疗及随访实践指南
Ann Oncol. 2010 May;21 Suppl 5:v103-15. doi: 10.1093/annonc/mdq207.
3
Endobronchial ultrasound-guided transbronchial needle aspiration of undiagnosed chest tumors.
经支气管超声引导经支气管针吸活检术诊断不明原因胸部肿瘤。
World J Surg. 2010 Aug;34(8):1823-7. doi: 10.1007/s00268-010-0536-y.
4
Endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of intrapulmonary lesions.支气管内超声引导下经支气管针吸活检术用于诊断肺内病变。
J Thorac Oncol. 2008 Sep;3(9):985-8. doi: 10.1097/JTO.0b013e31818396b9.
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Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy.影响CT引导下经胸壁活检气胸和肺内出血风险的因素。
Eur Radiol. 2008 Jul;18(7):1356-63. doi: 10.1007/s00330-008-0893-1. Epub 2008 Mar 20.
6
Evidence for the treatment of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition).肺结节患者的治疗依据:何时为肺癌?:美国胸科医师学会循证临床实践指南(第2版)
Chest. 2007 Sep;132(3 Suppl):94S-107S. doi: 10.1378/chest.07-1352.
7
Clinical significance of small pulmonary nodules with little or no 18F-FDG uptake on PET/CT images of patients with nonthoracic malignancies.非胸部恶性肿瘤患者PET/CT图像上18F-FDG摄取很少或无摄取的小肺结节的临床意义
J Nucl Med. 2007 Jan;48(1):15-21.
8
Guidelines for radiologically guided lung biopsy.放射学引导下肺活检指南。
Thorax. 2003 Nov;58(11):920-36. doi: 10.1136/thorax.58.11.920.
9
Value of washings and brushings at fibreoptic bronchoscopy in the diagnosis of lung cancer.纤维支气管镜检查中冲洗和刷检在肺癌诊断中的价值。
Thorax. 1990 May;45(5):373-6. doi: 10.1136/thx.45.5.373.