Azuma K, Uchiyama Y, Yamaoka N, Yamaguchi H, Akawa H
Department of Thoracic and Vascular Surgery, Ohita Prefectural Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Sep;40(9):1797-802.
A 62-year-old woman complained cough and hemosputum. Chest X-ray film and thoracic computed tomography revealed tumor shadow, localizing in the upper trachea, measuring 2 x 1 cm. Through a median sternotomy, resection of the trachea of 4 cartilagous rings was made, followed by end-to-end anastomosis. Fixing of tracheal anastomosis was performed for 2 weeks using SOMI brace. The size of tumor was 1.3 cm in diameter. Histologically, nodular tumor foci were seen close to the normal trachea gland, localing in tracheal mucosa. Tumor cells with basophilic cytoplasma developed acinical structure. Postoperative course was uneventful. This patient is alive 42 months after resection. This disease is extremely rare, we have found only 4 reported cases including our case in the world literature and only 2 cases in the Japanese literature.
一名62岁女性主诉咳嗽和咯血。胸部X线片和胸部计算机断层扫描显示肿瘤阴影，位于气管上段，大小为2×1厘米。通过正中胸骨切开术，切除了4个气管软骨环，随后进行端端吻合。使用SOMI支架对气管吻合口进行了2周的固定。肿瘤直径为1.3厘米。组织学检查显示，在靠近正常气管腺体的气管黏膜处可见结节状肿瘤病灶。具有嗜碱性细胞质的肿瘤细胞形成了腺泡结构。术后过程顺利。该患者在切除术后42个月仍然存活。这种疾病极为罕见，在世界文献中我们仅发现包括我们的病例在内的4例报告病例，在日本文献中仅有2例。
