• Title/Summary/Keyword: CT guide needle aspiration biopsy

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A Case of Pulmonary Cryptococcosis in Healthy Person (건강인에서 발생한 폐효모균증 1예)

  • Lyu, Su-Hyun;Lim, Jong-Seob;Yu, Dae-Sung;Shin, Won-Hyuk;Lyu, In-Yeal;Yun, Sung-Jun;Lee, Ji-Hyun;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.1
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    • pp.102-107
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    • 1996
  • Cryptococcosis is a systemic fungal infection caused by Cryptococcus neoformans. This mycosis is best known for meningeal involvement, yet, this disease rarely can be limited to the lungs. The usual portal of entry is respiratory tract. The recently rising incidence of the disease can be attributable to wide use of steroid, immunosuppressive agents and advent of AIDS. We experienced one case of pulmonary cryptococcosis in healthy person, who was admitted to the our hospital because of cough. Cryptococcus neoformans was isolated in the sputum, and lung tissue obtained by CT guide needle aspiration biopsy. Clinical improvement was noted after 6weeks of medical therapy with fluconazole.

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Endobronchial Ultrasound in Early Lung Cancer (초기 폐암에서 기관지 초음파 내시경의 임상적 유용성)

  • Park, Jinkyeong;Hwangbo, Bin
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.9-13
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    • 2011
  • Endobronchial ultrasound (EBUS), which enables visualization of lesions beyond the bronchus, broadens the fields of bronchoscopy. Two types of ultrasound, radial and linear, are used for bronchoscopy. Radial EBUS is performed by inserting an ultrasound mini-probe through the working channel of a flexible bronchoscope. Evaluation of the depth of invasion of early endobronchial lung cancers using radial EBUS is useful in deciding endobronchial treatment. A central tumor limited to within the cartilaginous layer is a good indication for endobronchial photodynamic therapy. EBUS-guide sheath (GS) technique is a sampling method assisted by localization of peripheral lesions using EBUS. The diagnostic yield of EBUS-GS method is higher than that of conventional transbronchial biopsy. High diagnostic values of EBSU-GS method are reported even in small (${\leq}2cm$) peripheral tumors. Linear EBUS is used for endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA). EBUS-TBNA has high diagnostic yields in mediastinal staging of lung cancer even in patients having radiologically early stage lung cancers with normal CT or PET findings in the mediastinum. EBUS is a valuable method in evaluating early endobronchial tumors and peripheral small lung cancers and as well as in mediastinal staging.

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