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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Electromagnetic Navigational Bronchoscopy Spares a Drunken Crab From the Surgeon's Knife
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Electromagnetic Navigational Bronchoscopy Spares a Drunken Crab From the Surgeon's Knife

机译：电磁导航支气管镜检查从外科医生的刀备受醉酒的螃蟹

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Summary: Surgical resection is traditionally the preferred treatment for fluorodeoxyglucose-avid peripheral pulmonary nodules that grow over time. However, new technologies, including electromagnetic navigational bronchoscopy (ENB), provide an opportunity to confirm or possibly exclude a cytologic cancer diagnosis, before resection. We present a case of a 56-year-old North American man who presented with a fluorodeoxyglucose-avid pulmonary nodule and sought a second opinion after being recommended thoracotomy with lobectomy. The peripheral nodule was biopsied using ENB and pathologic evaluation of the lesion demonstrated parasitic eggs with features of Paragonimus westermani. No evidence of malignancy was found. The radiographic abnormalities resolved after treatment with praziquantel. Using a minimally invasive procedure with ENB, we successfully diagnosed pulmonary infection with P. westermani, a rare infectious cause of peripheral pulmonary lesions in a patient without travel to an endemic area. Furthermore, an alternative diagnosis to cancer was established, sparing this patient an unnecessary thoracotomy with right middle lobectomy.
机译：发明内容：手术切除传统上，氟脱氧葡萄糖 - 狂热外周肺结节的优选治疗随时间而生长。然而，新技术，包括电磁导航支气管镜（eNB），提供在切除前确认或可能排除细胞学癌症诊断的机会。我们提出了一个56岁的北美男子，含有氟脱氧葡萄糖 - 狂热的肺结核，并在推荐肺切除术后寻求第二种意见。使用eNB和病变的病理评估表现出外周结节，并具有帕拉戈米斯韦斯德姆的特征寄生卵。没有发现恶性肿瘤的证据。用吡喹酮治疗后射线照相异常解决。使用微创手术与eNB，我们成功被诊断为患有P. Westermani的肺部感染，患者在患者中的外周肺病变的稀有传染性原因而没有进入地方区域。此外，建立了对癌症的替代诊断，使这患者对右中间叶片切除术不必要的胸廓切开术。

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