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超音波気管支鏡ガイド下針生検を施行した結核性リンパ節炎症例の後方視的検討
https://uoeh-u.repo.nii.ac.jp/records/874
https://uoeh-u.repo.nii.ac.jp/records/874168c2c48-8663-4b40-a665-c4398ea264f5
名前 / ファイル | ライセンス | アクション |
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S00042209 (480.9 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-06-30 | |||||
タイトル | ||||||
タイトル | 超音波気管支鏡ガイド下針生検を施行した結核性リンパ節炎症例の後方視的検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A Retrospective Study of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) Performed on Tuberculous Lymphadenitis Cases | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 気管支鏡 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 超音波気管支鏡ガイド下針生検 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 結核性リンパ節炎 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | bronchoscopy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | endobronchial ultrasound-guided transbronchial needle aspiration | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | tuberculous lymphadenitis | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
神田 , 英樹
× 神田 , 英樹× 内村 , 圭吾× 原 , 幸歌× 榊原 , 秀樹× 森本 , 俊規× 茂見 , 紗喜× 中村 , 圭× 橋本 , 康平× 岩永 , 優人× 山口 , 雄大× 宮田 , 依未子× 生嶋 , 一成× 立和田 , 隆× 山﨑 , 啓× 川波 , 敏則× 矢寺 , 和博× Kanda, Hideki× Uchimura, Keigo× Hara, Sachika× Sakakibara, Hideki× Morimoto, Toshiki× Shigemi, Saki× Nakamura, Kei× Hashimoto, Kohei× Iwanaga, Yuto× Yamaguchi, Yudai× Miyata, Emiko× Ikushima, Issei× Tachiwada, Takashi× Yamasaki, Kei× Kawanami, Toshinori× Yatera, Kazuhiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 近年,超音波気管支鏡ガイド下針生検(endobronchial ultrasound-guided transbronchial needle aspiration; EBUS-TBNA)は,肺癌のリンパ節転移診断のみならず,良性疾患においても有用性が多く報告されている.今回我々は2010年11月から2016年1月に当科でEBUS-TBNAを施行した結核性リンパ節炎の検査結果に関して後方視的に検討した.同期間に行われたEBUS-TBNAは427例であった.最終的に結核性リンパ節炎と診断された症例は6例であった.穿刺したリンパ節は8病変であった.病理組織学的には,6例全例(100%)で結核性リンパ節炎に矛盾しない所見が得られ,6例のうち3例(50%)において,組織標本のチールネルゼン染色にて抗酸菌染色陽性であった.なお,6例全てにおいて,穿刺針洗浄液の抗酸菌塗抹検査は陰性で,2例で抗酸菌培養検査が陽性(33.3%)であり,2例で結核菌PCR検査が陽性(33.3%)であった.本検討では,病理所見の結核性リンパ節炎との一致率は高かった(100%)が,穿刺針洗浄液の抗酸菌培養・結核菌PCR検査の陽性率は低かった.結核性リンパ節炎においては,穿刺針洗浄液の抗酸菌培養・結核菌PCR検査の陽性率が低いことを念頭に置いて,EBUS-TBNAの検査結果を慎重に判断する必要があることが示唆された. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been reported to be useful not only for the diagnosis of lymph node metastasis of lung cancer but also for benign diseases. We retrospectively analyzed the results of patients with tuberculous lymphadenitis (TL) who had undergone EBUS-TBNA between November 2010 and January 2016. EBUS-TBNA was performed in 427 cases during that period. Six cases were finally diagnosed as TL. The punctured lymph node was 8 lesions. Pathological findings consistent with TL were obtained in all 6 cases (100%), and the tissue specimens were positive in Ziehl-Neelsen staining in 3 of the 6 cases (50%). In all 6 cases, the acid-fast bacteria (AFB) smear test of the needle rinse fluid was negative, 2 cases were positive for AFB culture (33.3%), and 2 cases were positive for Mycobacterium tuberculosis (MTB)-PCR test (33.3%). In this study, the positive rate of mycobacterial culture and the MTB-PCR test of the needle rinse fluid was low, though the concordance rate of pathological findings with TL was high (100%). The results suggest that EBUS-TBNA should be carefully evaluated in patients with TL, considering the low positive rate of mycobacterial culture and MTB-PCR test in the needle rinse fluid. | |||||
書誌情報 |
産業医科大学雑誌 en : Journl of UOEH 巻 42, 号 2, p. 223-227, 発行日 2020-06-01 |
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出版者 | ||||||
出版者 | 産業医科大学(産業医科大学学会) | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | ISSN 0387-821X(PRINT), ISSN 2187-2864(ONLINE) | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.uoeh-u.ac.jp/kouza/journal/intro_e.html | |||||
関連名称 | Journal of UOEH | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.uoeh-u.ac.jp/kouza/journal/intro_j.html | |||||
関連名称 | 産業医科大学雑誌 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |