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使用硬质支气管镜联合传统手术切除成功治疗气管黏液表皮样癌。

Successful treatment of tracheal mucoepidermoid carcinoma using rigid bronchoscopy combined with conventional surgical resection.

作者信息

Huang Yao-Kuang, Liu Yun-Hen, Ko Po-Jen, Wu Yi-Cheng, Liu Hui-Ping

机构信息

Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.

出版信息

Chang Gung Med J. 2003 Jul;26(7):530-4.

Abstract

Mucoepidermoid carcinoma of the trachea is a rare tumor. This investigation reports on a case of a 67-year-old male with mucoepidermoid carcinoma in the lower 1/3 of the trachea. The patient presented with intermittent coughing and hemoptysis lasting for 1 month. The preoperative investigation revealed an intraluminal polypoid mass in the posterolateral trachea with 75% stenosis of the tracheal lumen. A rigid bronchoscope was used to evaluate the airway before surgery, and the tumor was mechanically resected using the tip of the rigid bronchoscope just before intubation. Finally, the tumor was completely removed, and the airway was successfully reconstructed. At 6 months after surgery with no adjuvant chemoradiotherapy, the patient was free of disease.

摘要

气管黏液表皮样癌是一种罕见的肿瘤。本研究报告了一例67岁男性气管下1/3黏液表皮样癌的病例。患者出现间歇性咳嗽和咯血持续1个月。术前检查发现气管后外侧腔内有一息肉样肿物,气管腔狭窄75%。术前使用硬支气管镜评估气道,并在插管前用硬支气管镜尖端机械切除肿瘤。最后,肿瘤被完全切除,气道成功重建。术后6个月,未进行辅助放化疗,患者无疾病复发。

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