Convex endobronchial ultrasound: same coin, two faces. Challenging biopsy and staging for non-small-cell lung cancer

被引:4
作者
Sapalidis, Konstantinos [1 ]
Romanidis, Konstantinos [2 ]
Oikonomou, Panagoula [2 ]
Zarogoulidis, Paul [1 ,3 ]
Katsaounis, Athanasios [1 ]
Amaniti, Aikaterini [4 ]
Michalopoulos, Nikolaos [1 ]
Koulouris, Charilaos [1 ]
Tsakiridis, Kosmas [5 ]
Giannakidis, Dimitrios [1 ]
Kesisoglou, Isaak [1 ]
Ioannidis, Aris [1 ]
Nikolaos-Katsios, Iason [1 ]
Vagionas, Anastasios [6 ]
Hohenforst-Schmidt, Wolfgang [7 ]
Huang, Haidong [8 ]
Bai, Chong [1 ]
Goganau, Alexandru Marian [9 ]
Kosmidis, Christoforos [1 ]
机构
[1] Aristotle Univ Thessaloniki, Dept Surg 3, Ahepa Univ Hosp, Thessaloniki, Greece
[2] Democritus Univ Thrace, Dept Surg 2, Med Sch, Univ Hosp Alexandroupolis, Alexandroupolis, Greece
[3] Creta InterClin Private Hosp, Pulm Dept, Iraklion, Greece
[4] Aristotle Univ Thessaloniki, Ahepa Univ Hosp, Anesthesiol Dept, Thessaloniki, Greece
[5] Interbalkan European Med Ctr, Thorac Surg Dept, Thessaloniki, Greece
[6] Gen Hosp Kavala, Oncol Dept, Kavala, Greece
[7] Univ Erlangen Nurnberg, Dept Cardiol Pulmonol Intens Care Nephrol, Sana Clin Grp Franken, Hof Clin, Hof, Germany
[8] Tongji Univ, Shanghai East Hosp, Diagnost & Therapeut Ctr Resp Dis, Shanghai, Peoples R China
[9] Univ Med & Pharm Craiova, Craiova Cty Emergency Hosp, Gen Surg Clin 1, Craiova, Romania
关键词
bronchoscopy; convex probe; EBUS; EUS; NSCLC; TRANSBRONCHIAL NEEDLE ASPIRATION; DIAGNOSIS; FEASIBILITY; SAMPLES; BLOCKS; EBUS;
D O I
10.2217/lmt-2019-0008
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Lung cancer is still diagnosed at a late stage due to lack of early disease symptoms. Despite the development of new diagnostic endoscopic tools, such as radial/convex endobronchial ultrasounds (EBUS) and electromagnetic navigation, most patients are still diagnosed at advanced stage disease. Most of the patients refer to their doctor only if they cough blood or their cough changes character. There are challenging cases in the diagnosis and staging of a patient, such as the one that we will present. We present a case of lung cancer that was diagnosed through a biopsy from the main lesion, with access from the esophagus, through transbronchial needle aspiration with EBUS, under general anesthesia and intubation. Staging with transbronchial needle aspiration with EBUS was also performed at the same session.
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页数:6
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