Real-time Endobronchial Ultrasound-guided Transbronchial Needle Aspiration is Useful for Diagnosing Recurrent Hypopharyngeal Carcinoma Located in the Upper Paratracheal Space-A Case Report

支氣管內視鏡超音波指引經氣管細針抽吸來診斷位於氣管旁邊復發性之轉移下咽癌－病例報告

莊宏洋(Hung-Yang Chuang) ； 陳家弘(Chia-Hung Chen) ； 劉奕亨(Yi-Heng Liu) ； 夏德椿(Te-Chun Hsia) ； 施純明(Chuen-Ming Shih) ； 徐武輝(Wu-Huei Hsu) ； 涂智彥(Chih-Yen Tu)

《胸腔醫學》 24卷3期 (2009/06) Pp. 163-167

https://doi.org/10.29806/TM.200906.0006

摘要

復發性下咽癌通常不易在早期被發現，所以預後差。復發性下咽癌最常見的復發位置為局部及頸部。然而，有時這些復發位置之組織取得對臨床醫師而言是一項挑戰。在此，我們報導一位59歲的男性病患在2006年9月被診斷出罹患stage IVa之下咽癌。之後他接受頸部外科手術及同時化療放射線治療處置。在2007年7月頸部電腦斷層掃描無異常病灶，於2007年12月之追蹤電腦斷層掃描發現氣管附近有一顆腫瘤.本篇我們陳述利用內視鏡超音波指引經氣管細針抽取氣管周邊腫瘤成功診斷復發性下咽癌之病患。

關鍵字

下咽癌 ； 診斷 ； 支氣管內視鏡超音波

並列摘要

Recurrent hypopharyngeal carcinoma is usually not diagnosed until it has reached an advanced stage, and so carries a poor prognosis. The most common sites of recurrence of hypopharyngeal carcinoma are the local and neck areas. However, these sites sometimes present a challenge to the surgeon because they are difficult to approach. Herein, we report the case of a 59-year-old man who was diagnosed with left hypopharyngeal squamous cell carcinoma (pT3N2M0 stage IVa) in September 2006. He underwent bilateral salvage neck dissection and concurrent chemoradiotherapy to prevent recurrence. The follow-up neck computed tomography (CT) in December 2007 revealed a tumor in the right upper paratracheal space which was not seen in the July 2007 CT. We describe a feasible method to diagnose recurrent hypopharyngeal carcinoma located adjacent to the central airway using real-time endobronchial ultrasound-guided transbronchial needle aspiration and avoiding surgery.

並列關鍵字

carcinoma ； hypopharynx ； diagnosis ； endobronchial ultrasound