在EUS-B-FNA手术过程中产生异性质的内腔食道血瘤
João Oliveira Rodrigues1, Paulo Matos2, Luís Vaz Rodrigues2,3
1Hospital Santa Marta - Unidade Local de Saúde de São José, Rua de Santa Marta 50, Lisboa, 1169-024, Portugal. joao.oliveira.rodrigues.pneumo@gmail.com.
BMC pulmonary medicine
|January 8, 2025
概括
食道超声与支气管镜细针吸收 (EUS-B-FNA) 是有用的肺癌分期. 发生了一种罕见的并发症,食道血液瘤,强调了在此过程中需要提高意识和警的必要性.
科学领域:
- 干预性肺病学 干预性肺病学
- 胃肠病学 胃肠病学
- 胸部瘤学 胸部瘤学
背景情况:
- 带有支气管细针吸收的食管超声波 (EUS-B-FNA) 是肺癌的关键诊断和分期工具,通常与支气管内肺超声波 (EBUS) 一起使用.
- 尽管它很有用,但干预性肺病学中对EUS-B-FNA相关的潜在并发症的认识有限.
研究的目的:
- 在EUS-B-FNA之后报告一种阳性食道血瘤病例.
- 强调识别和管理EUS-B-FNA并发症的重要性.
- 倡导提高对EUS-B-FNA相关风险的认识和教育.
主要方法:
- 一名66岁的男性患有状细胞肺癌,经过了中骨分期.
- 肺内支气管超声波 (EBUS) 在4L站发现了扩大的淋巴结,访问有限.
- 进行了补充EUS-B-FNA,导致穿孔部位的食道血液瘤.
主要成果:
- 在EUS-B-FNA手术后立即发现了一种阳性食道血液瘤.
- 患者经过保守的管理,使用上部内镜和剪贴密封.
- 患者无症状恢复,血液瘤在没有活跃出血的情况下消失.
结论:
- 这一案例凸显了EUS-B-FNA期间可能出现直接并发症的可能性,例如食道血液瘤.
- 对干预性肺病学家来说,提高警和对潜在并发症的全面了解至关重要.
- 需要进一步的教育和意识,以确保EUS-B-FNA的安全实践.
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