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Laparoscopic Endoscopic Surgical Science Akcier Kanseri Olarak Yanl Tan Alan mmn Sistemi Salkl EBUS-TBA ile nvazif Pulmoner Aspergillozis Tansnn Konan Bir Olgu [Respir Case Rep]
Respir Case Rep. 2019; 8(1): 1-5 | DOI: 10.5505/respircase.2019.49140

Akcier Kanseri Olarak Yanl Tan Alan mmn Sistemi Salkl EBUS-TBA ile nvazif Pulmoner Aspergillozis Tansnn Konan Bir Olgu

Taeyun Kim1, Hyunji Choi2, Jinyoung Lee3, Jehun Kim1
1Kosin niversitesi Gospel Hastanesi, Gs Hastalklar Blm, Busan, Gney Kore
2Kosin niversitesi Gospel Hastanesi, Laboratuvar Tbb Blm, Busan, Gney Kore
3Kosin niversitesi Gospel Hastanesi, Enfeksiyon Has-talklar Blm, Busan, Gney Kore

Aspergillozis rnekleri doada yaygn olarak bulunmaktadr. Aspergillus, immn sistemi bozulmu hastalarda hayat tehdit eden invazif pulmoner aspergillozise (IPA) neden olabilmektedir. IPA semptomlar nonspesifik ve radyolojik bulgular eitli olduu iin tans zor bir hastalktr. Gs st ksmnda iki haftadr devam ar nedeniyle, 68 yandaki kadn hasta Gs Hastalklar blmne ynlendirilmiti. Bilgisayarl tomografide akcier kanserinden phe edildi. Endobronial ultrason rehberliinde transbronial ine aspirasyonu (EBUS-TBA) yapld ve IPA tans histolojik olarak kondu. Bu, Korede EBUS-TBA ile IPA tans konan ilk olgu sunumudur. Kitlesel akcier lezyonlarnn tansnda EBUS-TBAnn rolnn artmas beklenmektedir.

Anahtar Kelimeler: Endobronial ultrason rehberlii, transbronial ine apirasyonu, bronkoskopi, invazif pulmoner aspergillozis

A Case of Invasive Pulmonary Aspergillosis in an Immunocompetent Patient Diagnosed by EBUS-TBNA, Misdiagnosed as Lung Cancer.

Taeyun Kim1, Hyunji Choi2, Jinyoung Lee3, Jehun Kim1
1Department Of Pulmonology, Kosin University Gospel Hospital, Busan, South Korea
2Department Of Laboratory Medicine, Kosin University Gospel Hospital, Busan, South Korea.
3Department Of Infectious Disease, Kosin University Gospel Hospital, Busan, South Korea.

Aspergillus species are widely distributed in nature. Aspergillus can cause life-threatening invasive pulmonary aspergillosis (IPA) in patients with impaired immune function. IPA is difficult to diagnose because the symptoms are nonspecific and the radiologic findings can be various. A 68-year-old female was referred to the department of pulmonology for right upper chest pain for two weeks. Computed-tomography (CT) scan showed suspicion of lung cancer, then endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed. IPA was diagnosed histologically. In Korea, this is the first report of IPA diagnosed through EBUS-TBNA. The role of EBUS-TBNA in the histological diagnosis of mass like lung lesions is expected to expand.

Keywords: endobronchial ultrasound-guided transbronchial needle aspiration, Bronchoscopy, Invasive pulmonary aspergillosis,

Taeyun Kim, Hyunji Choi, Jinyoung Lee, Jehun Kim. A Case of Invasive Pulmonary Aspergillosis in an Immunocompetent Patient Diagnosed by EBUS-TBNA, Misdiagnosed as Lung Cancer.. Respir Case Rep. 2019; 8(1): 1-5

Sorumlu Yazar: Jehun Kim, South Korea
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