Nishiyama N, Nakatani S, Iwasa R, Taguchi S, Inoue K, Kinoshita H
Department of Surgery, Kita Citizens' Hospital of Osaka City, Japan.
Kyobu Geka. 1997 Sep;50(10):893-7.
Preoperative histological diagnosis of lung cancer is usually based on findings from a transbronchial biopsy specimen of the tumor obtained through a fiberoptic bronchoscope. However, peripheral pulmonary tumors can be difficult to diagnose in this way. We report two patients with lung cancer invading the chest wall for whom histological diagnoses were not possible by transbronchial biopsy. Treatment for lung cancer is different from that for chest-wall tumors, so preoperative differential diagnosis of these conditions is important. Other organs should be searched to exclude metastatic chest-wall tumors. Percutaneous needle biopsy done under ultrasonic guidance made the histological diagnosis of lung cancer possible in both cases.
肺癌的术前组织学诊断通常基于通过纤维支气管镜获取的肿瘤经支气管活检标本的检查结果。然而，对于周围型肺肿瘤，通过这种方式可能难以诊断。我们报告了两名肺癌侵犯胸壁的患者，经支气管活检无法做出组织学诊断。肺癌的治疗方法与胸壁肿瘤不同，因此术前对这些情况进行鉴别诊断很重要。应检查其他器官以排除转移性胸壁肿瘤。在超声引导下进行的经皮针吸活检使两例患者均得以做出肺癌的组织学诊断。
