초음파 기관지 내시경으로 진단한 폐암으로 오인된 폐흡충증 1예
A Case of Pulmonary Paragonimiasis Mimicking Lung Cancer Diagnosed by EBUS-TBNA
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초록
폐흡충증은 임상양상이나 방사선학적 소견이 폐결핵, 폐암과 유사하고 최근 우리나라에서 유병률이 낮으므로 조기 진단이 어렵다. 초음파 기관지 내시경은 최근에 각광받고 있는 검사법으로 폐암뿐만 아니라 폐결핵, 사르코이드증 등 많은 질환에서 진단에 도움을 주고 있으며, 기존의 기관지 내시경을 통한 조직검사와 비교하여 안전하고 진단율도 높은 것으로 보고되고 있다. 저자들은 폐암으로 오인되었으나 초음파 기관지 내시경 검사를 통해 조직검사를 시행하여 이후 폐흡충증으로 진단된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
As the clinical and radiological features of pulmonary paragonimiasis are similar to those of pulmonary tuberculosis and lung cancer, the diagnosis of pulmonary paragonimiasis is very difficult and a biopsy is needed for the diagnosis. Transbronchial needle aspiration (TBNA) using conventional bronchoscopy is frequently used for nodal sampling, but its diagnostic accuracy is questionable due to the blind approach for targeting lymph nodes. Endobronchial ultrasound-guided (EBUS)-TBNA has high diagnostic value due to the direct visualization of lymph nodes, and thereby improves nodal diagnosis accuracy. This paper reports the first patient we experienced with pulmonary paragonimiasis mimicking lung cancer diagnosed by EBUS-TBNA. (Korean J Med 2013;84:423-427)
참고문헌 (11)
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