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通过支气管内超声引导下实时经支气管针吸活检（EBUS-TBNA）诊断的无症状性硅诱导肉芽肿病

Asymptomatic silicone induced granulomatous disease diagnosed by endobronchial ultrasound with real-time guided transbronchial needle aspiration (EBUS-TBNA).

作者信息

Naur Therese Maria Henriette, Bodtger Uffe, Nessar Rafi, Salih Goran Nadir, Clementsen Paul Frost

机构信息

Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.

Department of Respiratory Medicine, Naestved Hospital, Naestved, Denmark.

出版信息

Respir Med Case Rep. 2020 May 30;30:101102. doi: 10.1016/j.rmcr.2020.101102. eCollection 2020.

DOI:10.1016/j.rmcr.2020.101102
PMID:32551219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7289761/
Abstract

Silicone from ruptured breast implants can cause lung symptoms mimicking cancer. The diagnosis may be established by transbronchial lung biopsy or surgery. We report a case of asymptomatic silicone induced granulomatous reaction in the lungs and mediastinal lymph nodes diagnosed with EBUS-TBNA. We conclude that this differential diagnosis should be kept in mind even in an asymptomatic patients and that EBUS-TBNA should be considered.

摘要

破裂的隆胸硅胶可能导致类似癌症的肺部症状。诊断可通过经支气管肺活检或手术来确定。我们报告一例通过超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）诊断出的肺部及纵隔淋巴结无症状性硅胶诱导的肉芽肿反应病例。我们得出结论，即使是无症状患者也应考虑这种鉴别诊断，并且应考虑使用EBUS-TBNA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b9/7289761/075708633b7d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b9/7289761/6358cd63e48b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b9/7289761/075708633b7d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b9/7289761/6358cd63e48b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b9/7289761/075708633b7d/gr2.jpg

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本文引用的文献

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Silicone granuloma from ruptured breast implants as a cause of cervical lymphadenopathy.乳房植入物破裂导致的硅酮肉芽肿作为颈部淋巴结病的一个病因
Ann R Coll Surg Engl. 2016 Sep;98(7):e118-20. doi: 10.1308/rcsann.2016.0166. Epub 2016 May 11.
2
Subacute silicone pneumonitis after silent rupture of breast implant.乳房植入物隐匿性破裂后发生的亚急性硅酮肺炎。
Arch Bronconeumol. 2016 Jul;52(7):397-8. doi: 10.1016/j.arbres.2015.10.009. Epub 2015 Dec 23.
3
Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome.
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Chest. 2005 Jun;127(6):2276-81. doi: 10.1378/chest.127.6.2276.