Tamburrini Mario, Gothi Dipti, Barbetta Carlo, Del Conte Alessandro, Sulfaro Sandro, Zuccon Umberto
Department of Pulmonary Medicine, Santa Maria degli Angeli di Pordenone, Italy.
Department of Pulmonary Medicine, ESI-PGIMSR, Delhi, India.
Respir Med Case Rep. 2018 Dec 20;26:154-156. doi: 10.1016/j.rmcr.2018.12.012. eCollection 2019.
A 45-year old man, chronic smoker with a pancoast tumor due to squamous cell carcinoma has been described. The initial diagnosis of lung carcinoma was based on a scant tissue so the exact cell typing was not possible. The initial treatment consisted of platinum based chemotherapy and radiotherapy. He developed a left adrenal lesion on treatment. There was a possibility of metachronous primary. Also, a large tissue sample was required for tumor markers. The lung mass was difficult to access and was static on treatment. A left adrenal biopsy was considered to be more appropriate. A novel approach for left adrenal lesion with esophageal ultrasound using ultrasound bronchoscope (EUS-B) was successfully performed. This article is aimed at describing the use of EUS-B for transdiaphragmatic structures.
已描述一名45岁男性，因鳞状细胞癌患有潘科斯特瘤，长期吸烟。肺癌的初步诊断基于少量组织，因此无法确定确切的细胞类型。初始治疗包括铂类化疗和放疗。他在治疗过程中出现了左侧肾上腺病变。有可能是异时性原发性病变。此外，肿瘤标志物检测需要大量组织样本。肺部肿块难以获取，且在治疗过程中无变化。考虑到左侧肾上腺活检更为合适。采用超声支气管镜（EUS-B）经食管超声对左侧肾上腺病变进行了一种新的方法，并成功实施。本文旨在描述EUS-B在经膈结构中的应用。
