经支气管肺冷冻活检诊断的外源性类脂性肺炎 1 例。
A case of exogenous lipoid pneumonia diagnosed by transbronchial lung cryobiopsy.
机构信息
Kanagawa Cardiovascular and Respiratory Center, Department of Respiratory Medicine, Tomioka-Higashi 6-16-1, Kanazawa-ku, Yokohama, 236-0051, Japan; University of Yamanashi Hospital, Department of Internal Medicine 2, Shimokato 1110, Chuo-shi, Yamanashi, 409-3898, Japan.
Kanagawa Cardiovascular and Respiratory Center, Department of Respiratory Medicine, Tomioka-Higashi 6-16-1, Kanazawa-ku, Yokohama, 236-0051, Japan.
出版信息
Respir Investig. 2021 Jul;59(4):555-558. doi: 10.1016/j.resinv.2021.02.001. Epub 2021 Mar 5.
A 57-year-old man visited a referral physician due to abnormal chest shadows. Transbronchial lung biopsy (TBLB) failed to diagnose his condition. As antibiotics and systemic steroids did not improve the condition, he was referred to our hospital. A second TBLB in our hospital also failed to diagnose the disease. Transbronchial lung cryobiopsy (TBLC) was performed using radial endobronchial ultrasound with guide sheath (EBUS-GS), and the patient was diagnosed with lipoid pneumonia. Right upper lobe resection was performed, and lipoid pneumonia was confirmed from the surgical specimen. We report a case of lipoid pneumonia diagnosed by EBUS-GS TBLC.
一位 57 岁男性因胸部阴影异常就诊于转诊医生。经支气管肺活检（TBLB）未能明确诊断。由于抗生素和全身皮质类固醇治疗无效，他被转至我院。我院进行的第二次 TBLB 也未能明确诊断该疾病。使用径向支气管内超声引导鞘（EBUS-GS）进行经支气管肺冷冻活检（TBLC），患者被诊断为类脂性肺炎。行右上肺叶切除术，手术标本证实为类脂性肺炎。我们报告了一例经 EBUS-GS TBLC 诊断的类脂性肺炎病例。
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