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非小细胞肺癌的有效早期诊断:一种算法。

Effective early diagnosis for NSCLC: an algorithm.

机构信息

3rd Department of Surgery, ``ahepa`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

Pulmonary Oncology Department, ``Bioclinic`` Private Hospital, Thessaloniki, Greece.

出版信息

Expert Rev Respir Med. 2021 Nov;15(11):1437-1445. doi: 10.1080/17476348.2021.1969916. Epub 2021 Aug 23.

DOI:10.1080/17476348.2021.1969916
PMID:34403620
Abstract

INTRODUCTION

Lung cancer still remains undiagnosed for most patients until the disease is inoperable.

AREAS COVERED

We performed search on PubMed with the keywords: EBUS, radial-EBUS, bronchoscopy, lung cancer, electromagnetic navigation, ct-biopsy, transthoracic biopsy. We present diagnostic equipment and imaging techniques such as positron emission tomography, endoscopical navigation systems, endobronchial ultrasound, radial-endobronchial ultrasound, transthoracic ultrasound biopsy, and computed tomography guided biopsies.

EXPERT OPINION

However, lack of early disease symptoms remains the most important issue and therefore we should direct our efforts to screening and early disease diagnosis. An algorithm is proposed for biopsy upon initial disease diagnosis.

摘要

简介

大多数肺癌患者在疾病无法手术之前都无法得到确诊。

涵盖范围

我们在 PubMed 上使用了以下关键词进行了搜索:EBUS、radial-EBUS、支气管镜检查、肺癌、电磁导航、ct 引导下活检、经胸壁穿刺活检。我们展示了诊断设备和成像技术,如正电子发射断层扫描、内镜导航系统、支气管内超声、径向支气管内超声、经胸壁超声引导下穿刺活检以及 CT 引导下活检。

专家意见

然而,缺乏早期疾病症状仍然是最重要的问题,因此我们应该努力进行筛查和早期疾病诊断。我们提出了一个初始疾病诊断时活检的算法。

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1
Effective early diagnosis for NSCLC: an algorithm.非小细胞肺癌的有效早期诊断:一种算法。
Expert Rev Respir Med. 2021 Nov;15(11):1437-1445. doi: 10.1080/17476348.2021.1969916. Epub 2021 Aug 23.
2
Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS).支气管内与食管内超声联合用于肺癌诊断及分期:欧洲胃肠内镜学会(ESGE)指南,与欧洲呼吸学会(ERS)及欧洲胸外科医师学会(ESTS)合作制定
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Systematic Compared With Targeted Staging With Endobronchial Ultrasound in Patients With Lung Cancer.系统分期与支气管内超声引导下目标分期在肺癌患者中的比较。
Ann Thorac Surg. 2018 Aug;106(2):398-403. doi: 10.1016/j.athoracsur.2018.02.088. Epub 2018 Apr 6.
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Nodal stations and diagnostic performances of endobronchial ultrasound-guided transbronchial needle aspiration in patients with non-small cell lung cancer.经支气管超声引导针吸活检术在非小细胞肺癌患者中的淋巴结站和诊断性能。
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Application of endobronchial ultrasound-guided transbronchial needle aspiration following integrated PET/CT in mediastinal staging of potentially operable non-small cell lung cancer.在综合PET/CT检查后,应用支气管内超声引导下经支气管针吸活检术对潜在可切除的非小细胞肺癌进行纵隔分期。
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