The Expanding Horizons of Endobronchial Ultrasound Diagnosis of a Tumor Embolism

被引：16

作者：

Chamorro, Nuria ^{[1
]}

Blanco, Isabel ^{[1
]}

Sanchez, Marcelo ^{[2
]}

Ramirez, Jose ^{[3
,4
]}

Barbera, Joan A. ^{[1
,4
]}

Agusti, Carlos ^{[1
,4
]}

机构：

[1] Inst Clin Torax, Dept Pulm Med, Barcelona, Spain

[2] Univ Barcelona, Inst Invest Biomed August Pi & Sunyer IDIBAPS, CDB, Dept Radiol, Barcelona, Spain

[3] Univ Barcelona, Inst Invest Biomed August Pi & Sunyer IDIBAPS, CDB, Dept Pathol, Barcelona, Spain

[4] CIBERES, Barcelona, Spain

来源：

CHEST | 2012年 / 142卷 / 05期

关键词：

PULMONARY-ARTERY SARCOMA;

D O I：

10.1378/chest.12-0181

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 51-year-old woman was given a diagnosis of primary retroperitoneal synovial sarcoma, which was surgically removed, and she was subsequently treated with chemotherapy and radiotherapy. Five years later, the patient was readmitted with a 1-month history of progressive dyspnea and was initially given a diagnosis of bilateral pulmonary embolism. Angiography performed some time later revealed progression of the previous filling defects and the appearance of two new nodular endovascular images. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed, and the cytologic analysis of the cell aspirate was compatible with endovascular metastatic sarcoma. In conclusion, EBUS-TBNA in the appropriate setting is an effective method for sampling endovascular lesions, adding pathologic information and allowing for early and accurate diagnosis. CHEST 2012; 142(5):1334-1336

引用

页码：1334 / 1336

页数：3

共 4 条

[1] Endobronchial Ultrasound for Detecting Central Pulmonary Emboli: A Pilot Study [J].