BACKGROUND Peripheral lung cancer poses a substantial harm to human health,and it is easy to become exacerbated,potentially threatening the life and safety of patients AIM To assess the value of virtual bronchoscopic ...BACKGROUND Peripheral lung cancer poses a substantial harm to human health,and it is easy to become exacerbated,potentially threatening the life and safety of patients AIM To assess the value of virtual bronchoscopic navigation(VBN)combined with transbronchial ultrasound-guided sheath-guided(EBUS-GS)exploration in the diagnosis of peripheral lung cancer.METHODS A total of 236 patients with peripheral lung cancer(nodule diameter range,8-30 mm;diagnosed using high-resolution computed tomography)were selected from three centers between October 2018 and December 2019.Patients who underwent EBUS-GS exploration alone were included in a control group,and those who received VBN in combination with EBUS-GS exploration were included in an observation group.The diagnostic rate and total operating time of differentsubgroups of the two groups were compared,and the time needed to determine the lesion was recorded.RESULTS There were no significant differences in diagnosis rate or total operation time between the two groups(P>0.05),and the time needed to determine the lesion in the observation group was less than that of the control group(P<0.05).CONCLUSION The combined use of VBN and EBUS-GS exploration technology has little effect on the diagnosis rate and total operation time of peripheral lung cancer,but it significantly shortens the time needed to determine the lesion and is a valuable diagnostic method.展开更多
To the Editor:A 69-year-old woman presented with symptoms of chest tightness and cough for 2 years,which were aggravated during strenuous activities.She was hospitalized on June 3,2019.In the past 2 years,she did not ...To the Editor:A 69-year-old woman presented with symptoms of chest tightness and cough for 2 years,which were aggravated during strenuous activities.She was hospitalized on June 3,2019.In the past 2 years,she did not undergo any screening tests and was repeatedly misdiagnosed with asthma or pneumonia.She was treated with albuterol and various antibiotics without significant clinical improvement.展开更多
To the Editor:A 70-year-old woman was admitted to the respiratory intensive care unit with severe chest tightness.She had confirmed lung adenosquamous car cinoma 7 months ago.As the epidermal growth factor receptor ge...To the Editor:A 70-year-old woman was admitted to the respiratory intensive care unit with severe chest tightness.She had confirmed lung adenosquamous car cinoma 7 months ago.As the epidermal growth factor receptor gene mutations and anaplastic lymphoma kinase fusion gene were negative,she was administered gefitinib for 3 months and then programmed death-1 drugs were treated for two courses.Nearly 1-month of facial ministry edema,computed tomography scan showed that the superior vena cava syndrome appeared.Gamma knife radiosurgery was given 10 times.展开更多
To the Editor：Amyloidosis refers to the extracellular deposition of amyloid,a fibrillar proteinaceous insoluble material that has characteristically light,ultrastructural,and histochemical features.It consists of a w...To the Editor：Amyloidosis refers to the extracellular deposition of amyloid,a fibrillar proteinaceous insoluble material that has characteristically light,ultrastructural,and histochemical features.It consists of a well-circumscribed dense amorphous eosinophilic amyloid protein,surrounded by an inflammatory cellular infiltrate of plasma cells and lymphocytes with an occasional granulomatous reaction.The two major types are primary and secondary amyloidosis.Primary amyloidosis is the type that most commonly affects the respiratory system.展开更多
文摘BACKGROUND Peripheral lung cancer poses a substantial harm to human health,and it is easy to become exacerbated,potentially threatening the life and safety of patients AIM To assess the value of virtual bronchoscopic navigation(VBN)combined with transbronchial ultrasound-guided sheath-guided(EBUS-GS)exploration in the diagnosis of peripheral lung cancer.METHODS A total of 236 patients with peripheral lung cancer(nodule diameter range,8-30 mm;diagnosed using high-resolution computed tomography)were selected from three centers between October 2018 and December 2019.Patients who underwent EBUS-GS exploration alone were included in a control group,and those who received VBN in combination with EBUS-GS exploration were included in an observation group.The diagnostic rate and total operating time of differentsubgroups of the two groups were compared,and the time needed to determine the lesion was recorded.RESULTS There were no significant differences in diagnosis rate or total operation time between the two groups(P>0.05),and the time needed to determine the lesion in the observation group was less than that of the control group(P<0.05).CONCLUSION The combined use of VBN and EBUS-GS exploration technology has little effect on the diagnosis rate and total operation time of peripheral lung cancer,but it significantly shortens the time needed to determine the lesion and is a valuable diagnostic method.
文摘To the Editor:A 69-year-old woman presented with symptoms of chest tightness and cough for 2 years,which were aggravated during strenuous activities.She was hospitalized on June 3,2019.In the past 2 years,she did not undergo any screening tests and was repeatedly misdiagnosed with asthma or pneumonia.She was treated with albuterol and various antibiotics without significant clinical improvement.
文摘To the Editor:A 70-year-old woman was admitted to the respiratory intensive care unit with severe chest tightness.She had confirmed lung adenosquamous car cinoma 7 months ago.As the epidermal growth factor receptor gene mutations and anaplastic lymphoma kinase fusion gene were negative,she was administered gefitinib for 3 months and then programmed death-1 drugs were treated for two courses.Nearly 1-month of facial ministry edema,computed tomography scan showed that the superior vena cava syndrome appeared.Gamma knife radiosurgery was given 10 times.
文摘To the Editor：Amyloidosis refers to the extracellular deposition of amyloid,a fibrillar proteinaceous insoluble material that has characteristically light,ultrastructural,and histochemical features.It consists of a well-circumscribed dense amorphous eosinophilic amyloid protein,surrounded by an inflammatory cellular infiltrate of plasma cells and lymphocytes with an occasional granulomatous reaction.The two major types are primary and secondary amyloidosis.Primary amyloidosis is the type that most commonly affects the respiratory system.
