Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration as a Complementary Tool for Diagnosis of Esophageal Cancer-A Case Report

以支氣管內超音波導引經支氣管細針抽吸作為診斷食道癌的輔助工具：案例報告

溫岳峯(Yueh-Feng Wen) ； 何肇基(Chao-Chi Ho)

《胸腔醫學》 27卷2期 (2012/04) Pp. 124-130

https://doi.org/10.29806/TM.201204.0009

摘要

以食道內超音波導引細針抽吸和以支氣管內超音波導引經支氣管細針抽吸的技術在診斷攸關肺癌分期的縱隔腔淋巴結病變方面已經成為極有價值的工具。不過兩者都有其個別解剖位置的限制。同時結合這兩項技術於是成為診斷肺癌縱隔腔淋巴結病變的一個新的想法並且已經得到可靠的結果。然而這個策略對於診斷其他縱隔腔疾病的臨床影響目前仍不清楚。此處我們要提出一個案例報告，此案例的病人在嘗試過以直接內視鏡切片和食道內超音波導引細針抽吸的技術仍無法確診之後最終以支氣管內超音波導引經支氣管細針抽吸的技術建立食道癌的診斷。我們認為對於謹慎挑選的病人而言這可能提供了在採用更侵入性的診斷工具之前的一項替代選擇。（胸腔醫學2012；27：124－130）

關鍵字

食道內超音波導引細針抽吸 ； 支氣管內超音波導引經支氣管細針抽吸 ； 食道癌

並列摘要

Endoscopic ultrasound with fine needle aspiration (EUS-FNA) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) have emerged as valuable tools in the mediastinal nodal staging of lung cancer. Each modality alone has its limitations. The combination of both approaches therefore arises as a new idea for mediastinal nodal staging of lung cancer, and it has yielded promising results. Yet, the clinical impact of this strategy in the diagnosis of other mediastinal disease is still not well known. Herein, we report a case in which the diagnosis of esophageal cancer was established via EBUS-TBNA after endoscopic biopsy and EUS-FNA failed to obtain tissue confirmation. We concluded that in carefully selected patients, EBUS-TBNA may be an alternative diagnostic method before more invasive modalities are adopted. (Thorac Med 2012; 27: 124-130)

並列關鍵字

endoscopic ultrasound with fine needle aspiration ； endobronchial ultrasound-guided transbronchial needle aspiration ； esophageal cancer