跨支气管冷活检用于诊断肺部化颗粒瘤:一个病例报告
Akihiko Amano1, Takashi Niwa2, Masamitsu Hamakawa3
1Department of Respiratory Medicine, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan. aa16513@kchnet.or.jp.
BMC pulmonary medicine
|December 27, 2025
概括
通过支气管冷活检成功诊断出肺化颗粒瘤 (PHG),这是一种罕见的肺病. 这种不那么侵入性的方法可能会减少手术肺活检的必要性,在患有固体纤维性肺病变的患者中.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 病理学 病理学 病理学
背景情况:
- 肺化颗粒瘤 (PHG) 是一种罕见的良性肺病.
- 诊断是困难的,因为片活检的组织不足,往往需要手术肺活检.
- 之前没有报告过PHG的跨支气管冷活检.
研究的目的:
- 通过横支气管冷活检诊断的PHG病例.
- 评估跨支气管冷活检对诊断纤维化肺病变的有用性.
主要方法:
- 一名61岁的男性患有正在生长的肺结节,他接受了支气管镜检查.
- 由于病变的硬度和未成功的叉子活检,进行了跨支气管冷活检.
- 低温活检样本的组织病理学检查证实了PHG.
主要成果:
- 通过支气管冷活检成功获得了足够的组织用于PHG诊断.
- 这项手术没有直接的并发症.
- 在18个月的随访期间,患者的病变在没有干预的情况下保持稳定.
结论:
- 跨支气管冷活检是一种潜在的有用和不那么侵入性的选择,用于诊断像PHG这样的坚固的纤维性肺病变.
- 这种技术可能会降低选择患者手术肺活检的必要性.
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