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KMID : 0882420130840030423
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Korean Journal of Medicine
2013 Volume.84 No. 3 p.423 ~ p.427
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A Case of Pulmonary Paragonimiasis Mimicking Lung Cancer Diagnosed by EBUS-TBNA
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Lee Jae-June
Choi Chang-Min
Kwon Hyuk-Hee
Kim Min-Soo
Kim Joon-Seok
Park So-Young
Hwang Hee-Sang
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Abstract
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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.
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KEYWORD
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Bronchoscopy, Biopsy, fine-needle, Paragonimiasis
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