北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科  > 期刊论文
学科主题: 临床医学
题名:
Diagnostic value of endobronchial ultrasound guided transbronchial needle aspiration in superior vena cava syndrome
作者: Zhou Zu-li1; Zhao Hui1; Li Yun1; Sui Xi-zhao1; Xie Zhen1; Chen Ke-zhong1; Yang Feng1; Li Feng-wei3; Liu Jun1; Zheng Hong-fang2; Wang Jun1
关键词: endobronchial ultrasound ; transbronchial needle aspiration ; superior vena cava syndrome ; diagnosis
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2013-12-05
DOI: 10.3760/cma.j.issn.0366-6999.20130260
卷: 126, 期:23, 页:4453-4456
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: CELL LUNG-CANCER ; MEDIASTINOSCOPY STILL ; GOLD STANDARD ; LYMPH-NODES ; OBSTRUCTION ; CARCINOMA
英文摘要:

Background The pathological diagnosis is of critical importance to the subsequent treatment for the pathients with superior vena cave syndrome (SVCS). The aim of this study is to report our experience in the diagnosis of SVCS by endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA).

Methods The data of 520 patients who underwent EBUS-TBNA from September 2009 to May 2012 at our institution were reviewed. Of these, there were 14 males and 6 females (mean age of 59.1 years) with SVCS who received EBUS-TBNA that were included in the analysis.

Results The mean short axis diameter of the paratracheal lesions was (3.32 +/- 1.79) cm (range, 1.69 to 9.50 cm) and 6 cases also had subcarinal lymph node enlargement with a mean short axis diameter of (2.14 +/- 0.49) cm (range, 1.73 to 3.01 cm). An average of 4.3 punctures was performed per lesion. Malignancy was confirmed in 16 cases (10 small cell carcinomas, 4 adenocarcinomas, 1 squamous cell carcinoma and 1 Hodgkin lymphoma). In two patients, pathological examination of tissue revealed no evidence of malignancy and for 13 to 24 months of follow-up. One patient from whom adequate tissue was not obtained refused further surgical biopsy since he had undergone endovascular stenting of the SVC. One patient in whom a diagnosis was not obtained by EBUS-TBNA underwent thoracoscopic biopsy and the final diagnosis was B cell non-Hodgkin′s lymphoma. The diagnosis accuracy of EBUS-TBNA in SVCS was 18/20 patients.

Conclusion EBUS-TBNA is a highly effective and safe procedure for the diagnosis of SVCS.

语种: 英语
WOS记录号: WOS:000329084100010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61803
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Pathol, Beijing 100044, Peoples R China
3.Beijing Aerosp Hosp, Dept Thorac Surg, Beijing 100076, Peoples R China

Recommended Citation:
Zhou Zu-li,Zhao Hui,Li Yun,et al. Diagnostic value of endobronchial ultrasound guided transbronchial needle aspiration in superior vena cava syndrome[J]. CHINESE MEDICAL JOURNAL,2013,126(23):4453-4456.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Zhou Zu-li]'s Articles
[Zhao Hui]'s Articles
[Li Yun]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Zhou Zu-li]‘s Articles
[Zhao Hui]‘s Articles
[Li Yun]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace