Lin C, An R, Wang S S, Feng T
Department of Pulmonary and Critical Care Medicine, Shengli Oilfield Central Hospital, Dongying 257000, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2024 Aug 12;47(8):785-787. doi: 10.3760/cma.j.cn112147-20240203-00068.
Virtual bronchoscopic navigation (VBN) is increasingly being used to diagnose peripheral lung lesions, allowing precise guidance of the bronchoscope to the target lesions, thereby improving diagnostic accuracy. This paper reported a patient admitted due to hemoptysis, with an initial clinical diagnosis of squamous cell lung carcinoma with brain and bone metastases. Previous attempts had failed to obtain tissue samples from the lung lesions. Upon admission, the LungPro navigation system was used to perform a bronchoscopic transparenchymal nodule access (BTPNA). Pathological examination of the lung tissue and microbiological analysis of bronchoalveolar lavage fluid confirmed the diagnosis of peripheral cavitary squamous cell lung carcinoma with infection. Following antifungal and antineoplastic treatment, the patient's symptoms improved markedly and she was subsequently discharged.
虚拟支气管镜导航（VBN）越来越多地用于诊断周围型肺部病变，它能将支气管镜精确引导至目标病变，从而提高诊断准确性。本文报道了一名因咯血入院的患者，初步临床诊断为肺鳞状细胞癌伴脑和骨转移。此前多次尝试均未能从肺部病变获取组织样本。入院后，使用LungPro导航系统进行了支气管镜透壁结节穿刺活检（BTPNA）。肺组织病理检查及支气管肺泡灌洗液微生物分析确诊为周围型空洞性肺鳞状细胞癌伴感染。经过抗真菌和抗肿瘤治疗，患者症状明显改善，随后出院。
