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凸面支气管内超声:同一枚硬币的两面。非小细胞肺癌活检及分期面临的挑战。

Convex endobronchial ultrasound: same coin, two faces. Challenging biopsy and staging for non-small-cell lung cancer.

作者信息

Sapalidis Konstantinos, Romanidis Konstantinos, Oikonomou Panagoula, Zarogoulidis Paul, Katsaounis Athanasios, Amaniti Aikaterini, Michalopoulos Nikolaos, Koulouris Charilaos, Tsakiridis Kosmas, Giannakidis Dimitrios, Kesisoglou Isaak, Ioannidis Aris, Nikolaos-Katsios Iason, Vagionas Anastasios, Hohenforst-Schmidt Wolfgang, Huang Haidong, Bai Chong, Goganau Alexandru Marian, Kosmidis Christoforos

机构信息

3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Second Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Lung Cancer Manag. 2020 Jan 16;8(4):LMT20. doi: 10.2217/lmt-2019-0008.

Abstract

Lung cancer is still diagnosed at a late stage due to lack of early disease symptoms. Despite the development of new diagnostic endoscopic tools, such as radial/convex endobronchial ultrasounds (EBUS) and electromagnetic navigation, most patients are still diagnosed at advanced stage disease. Most of the patients refer to their doctor only if they cough blood or their cough changes character. There are challenging cases in the diagnosis and staging of a patient, such as the one that we will present. We present a case of lung cancer that was diagnosed through a biopsy from the main lesion, with access from the esophagus, through transbronchial needle aspiration with EBUS, under general anesthesia and intubation. Staging with transbronchial needle aspiration with EBUS was also performed at the same session.

摘要

由于缺乏早期疾病症状,肺癌仍在晚期才被诊断出来。尽管开发了新的诊断性内镜工具,如径向/凸面支气管内超声(EBUS)和电磁导航,但大多数患者仍在疾病晚期才被诊断出来。大多数患者只有在咯血或咳嗽性质改变时才会去看医生。在患者的诊断和分期方面存在具有挑战性的病例,比如我们即将介绍的这个病例。我们展示了一例通过对主要病变进行活检而诊断出的肺癌病例,该活检是在全身麻醉和插管下,通过EBUS经支气管针吸活检,从食管进入进行的。在同一次手术中也进行了EBUS经支气管针吸活检分期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d3/6978727/6a4d7ddd5533/lmt-08-20-g1.jpg

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