Korean J Med.  2013 Mar;84(3):423-427. 10.3904/kjm.2013.84.3.423.

A Case of Pulmonary Paragonimiasis Mimicking Lung Cancer Diagnosed by EBUS-TBNA

Affiliations
  • 1Department of Internal Medicine, Ulsan University College of Medicine, Seoul, Korea. ccm@amc.seoul.kr
  • 2Department of Pathology, Ulsan University College of Medicine, Seoul, Korea.

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.

Keyword

Bronchoscopy; Biopsy, fine-needle; Paragonimiasis
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