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題名 | Ultrasound-Guided Transthoracic Core Biopsy for the Diagnosis of Mucosa-Associated Lymphoid Tissue Lymphoma (MALToma) of the Lung--A Case Report=藉超音波導引切片來診斷肺部MALToma之病例報告 |
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作者姓名(中文) | 涂智彥; 夏德椿; 林智一; | 書刊名 | 胸腔醫學 |
卷期 | 17:2 2002.06[民91.06] |
頁次 | 頁172-177 |
分類號 | 415.46 |
關鍵詞 | 肺部MALToma; 超音波; Mucosa-associated lymphoid tissue lymphoma; MALToma; Ultrasound; Core-biopsy; |
語文 | 英文(English) |
中文摘要 | MALToma是一種B細胞淋巴癌,它可生長在胃、肺、唾液腺或甲狀腺。肺部的MALToma是個很少見之疾病,其診斷需根據病理切片。以前在影像診斷工具尚未成熟時,病人常藉由支氣管鏡、胸腔鏡或開胸手術來取得病理組織;然而,這些檢查除了病患不舒服外,亦有麻醉的危險性。在此,我們報告一例40歲男性,無抽煙史,主要臨床症狀為乾咳、右側胸痛,胸部X光片顯示右中肺有約6公分的腫塊,在接受支氣管鏡檢查及經氣管切片後,仍無法獲得正確診斷。我們藉超音波導引,使用18號大小的針頭做了core-biopsy,病人做完切片後無任何併發症,病理報告為MALToma。病人現接受放射治療及化學治療,並在門診持續追蹤觀察。對於肺部MALToma的診斷,藉由超音波導引做core-biopsy可能扮演重要的角色。 |
英文摘要 | Mucosa-assoicated lymphoid tissue lymphoma (MALToma) of the lung is a rare low-grade B cell lymphoma. Pulmonary MALToma is difficult to diagnose because most patients with MALToma of the lung are asymptomatic or just present with a long and indolent course. The definite diagnosis of pulmonary MALToma is based on histological studies. In the past, specimens were obtained by thoracotomy, thoracoscopy, or anterior mediastinotomy, because the image modality and cytopathology were not as advanced as today. However, recent advances in the technique of ultrasonographic image guidance have greatly improved safety and diagnostic accuracy. We report a 40-year-old man with pulmonary MALToma who presented with dry cough and right-side chest pain, and was finally diagnosed using echo-guided transthoracic core biopsy, without any complications. |
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