LungPro导航系统引导支气管镜确诊肺外周空洞型鳞癌合并曲霉感染1例

Diagnosis of peripheral cavitary squamous cell lung carcinoma with Aspergillus infection using LungPro navigation system:a case report

虚拟支气管镜导航(VBN)被逐步应用于肺外周病变的诊断中,它能精准引导支气管镜快速达到目标病变,提高诊断的阳性率。本文报道1例因咯血入院患者,院外临床诊断肺鳞癌并颅脑、骨转移,既往未获取肺内病变组织,入院后应用LungPro导航系统引导行支气管镜下肺实质结节抵达术(BTPNA),通过肺组织病理学及肺泡灌洗液病原学检查确诊肺外周空洞型鳞癌合并曲霉感染,给予抗真菌及抗肿瘤治疗后,症状改善出院。

Virtual bronchoscopic navigation(VBN)is increasingly being used to diagnose peripheral lung lesions,allowing precise guidance of the bronchoscope to the target lesions,thereby improving diagnostic accuracy.This paper reported a patient admitted due to hemoptysis,with an initial clinical diagnosis of squamous cell lung carcinoma with brain and bone metastases.Previous attempts had failed to obtain tissue samples from the lung lesions.Upon admission,the LungPro navigation system was used to perform a bronchoscopic transparenchymal nodule access(BTPNA).Pathological examination of the lung tissue and microbiological analysis of bronchoalveolar lavage fluid confirmed the diagnosis of peripheral cavitary squamous cell lung carcinoma with Aspergillus infection.Following antifungal and antineoplastic treatment,the patient′s symptoms improved markedly and she was subsequently discharged.