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題 名 | Mediastinal Tuberculous Lymphadenopathy Diagnosed by Endobronchial Ultrasound-Guided Trans-Bronchial Needle Aspiration: A Case Report=支氣管內超音波導引經支氣管細針抽吸診斷結核性縱膈腔淋巴腺腫大:病例報告 |
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作 者 | 耿立達; 何肇基; 余忠仁; | 書刊名 | 胸腔醫學 |
卷 期 | 26:6 2011.12[民100.12] |
頁 次 | 頁357-362 |
分類號 | 415.45 |
關鍵詞 | 結核性縱膈腔淋巴腺腫大; 支氣管內超音波; 經支氣管細針抽吸; Mediastinal tuberculous lymphadenopathy; Endobronchial Ultrasonography; Trans-bronchial needle aspiration; |
語 文 | 英文(English) |
中文摘要 | 無合併肺實質病變的結核性縱膈腔淋巴腺腫大常發生於小孩或感染後天免疫缺乏病毒的成人。然而在如台灣一樣的結核病流行地區,它仍是縱膈腔淋巴腺腫大的鑑別診斷之一。雖然典型的胸部電腦斷層變化如中央低密度與邊緣性顯影為結核性縱膈腔淋巴腺腫大之特徵,確切診斷仍需仰賴微生物學與病理學檢查。支氣管內超音波導引經支氣管細針抽吸為評估縱膈腔淋巴腺腫大原因的診斷工具;與縱膈腔鏡相比具有較低的侵襲性與較高的安全性。我們在此報告一位臨床表現為發燒與縱膈腔淋巴腺腫大的36歲女性病患;經支氣管內超音波導引經支氣管細針抽吸診斷為結核性縱膈腔淋巴腺腫大。支氣管內超音波導引經支氣管細針抽吸可用來診斷結核性縱膈腔淋巴腺腫大,因而避免其他較具侵襲性的診斷方式。 |
英文摘要 | Mediastinal tuberculous lymphadenopathy without lung parenchymal change is much more common in children and in adults with human immuno-deficiency virus (HIV) infection. In endemic areas like Taiwan, it should be a differential diagnosis of mediastinal lymphadenopathy. Although imaging patterns on chest computed tomography (CT) such as central low attenuation with peripheral rim enhancement are suggestive, the definitive diagnosis depends on microbiology and pathology studies. Endobronchial ultrasoundguided trans-bronchial needle aspiration (EBUS-TBNA) is a diagnostic tool for evaluating the etiology of mediastinal lymphadenopathy that is less invasive and has a better safety profile than mediastinoscopy. Herein, we report a 36-year-old female with fever and mediastinal lymphadenopathies, who was diagnosed with mediastinal tuberculous lymphadenopathy by EBUS-TBNA. Mediastinal tuberculous lymphadenopathy can be diagnosed using EBUSTBNA instead of the more invasive diagnostic procedures. |
本系統中英文摘要資訊取自各篇刊載內容。