Huang I-Anne, Hsia Shao-Hsuan, Wu Chang-Teng, Jaing Tang-Her, Lai Shen-Hao, Liu Yun-Hen
Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Pediatr Hematol Oncol. 2004 Dec;21(8):725-9. doi: 10.1080/08880010490514930.
Endobronchial involvement in non-Hodgkin lymphoma is rare even in the presence of advanced disease. A 15-year-old boy presented with progressively worsening dyspnea with occasional hemoptysis for 1 week prior to admission. Three days later, he was intubated due severe dyspnea with complete atelectasis of the right lung. Fiberoptic bronchoscopy disclosed an endobronchial mass almost occupying the right main bronchus. He underwent partial resection of the endobronchial tumor with rigid bronchoscopy. An airway stenting was used in this patient because he had severe tracheal obstruction from the tumor. The compromised airway was alleviated by combined chemotherapy and tracheobronchial stenting.
即使在疾病晚期，非霍奇金淋巴瘤累及支气管内的情况也很罕见。一名15岁男孩入院前1周出现进行性加重的呼吸困难，偶有咯血。三天后，由于严重呼吸困难伴右肺完全肺不张，他接受了气管插管。纤维支气管镜检查发现一个几乎占据右主支气管的支气管内肿物。他通过硬质支气管镜接受了支气管内肿瘤部分切除术。由于肿瘤导致严重气管阻塞，该患者使用了气道支架。联合化疗和气管支气管支架置入缓解了受损的气道。
