Matsuzawa Hisanori, Goto Takashi, Ohshima Shigetoshi, Shibuya Tomomi, Sato Wataru, Chiba Mitsuru, Takahashi Kenichi, Minami Shinichiro, Iijima Katsunori
Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan.
Intern Med. 2020 Aug 15;59(16):2077-2081. doi: 10.2169/internalmedicine.4512-20. Epub 2020 May 8.
Splenic sarcoidosis is often diagnosed by splenectomy or an ultrasound-guided splenic biopsy. However, splenectomy is invasive and costly, and a percutaneous biopsy is sometimes difficult. We herein report a case of splenic sarcoidosis diagnosed with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). A 71-year-old man was referred to our hospital for abnormal shadows on a chest roentgenogram. Computed tomography showed multiple lesions in the spleen and pulmonary consolidations. Bronchoscopy revealed no definitive diagnosis. We therefore performed EUS-FNA for a splenic lesion that led to the diagnosis. This case suggests that EUS-FNA is useful in confirming the diagnosis of sarcoidosis with suspected splenic lesions.
脾结节病通常通过脾切除术或超声引导下的脾活检来诊断。然而，脾切除术具有侵入性且成本高昂，经皮活检有时也很困难。我们在此报告一例通过内镜超声引导下细针穿刺抽吸术（EUS-FNA）诊断的脾结节病病例。一名71岁男性因胸部X线片上的异常阴影被转诊至我院。计算机断层扫描显示脾脏有多个病灶以及肺部实变。支气管镜检查未得出明确诊断。因此，我们对脾脏病灶进行了EUS-FNA，从而确诊。该病例表明，EUS-FNA对于确诊疑似脾脏病灶的结节病很有用。
