Ono Yusuke, Miyoshi Tatsu, Inutsuka Koji, Shiraishi Takeshi, Nabeshima Kazuki, Shirakusa Takaho
Department of Second Surgery, School of Medicine, Fukuoka University, Japan.
Kyobu Geka. 2006 Aug;59(9):871-5.
A 45-year-old female with a complaint of dyspnea was admitted to our hospital. Computed tomography (CT) and bronchoscopy revealed a 10 mm intraluminal polypoid tumor with a smooth surface and hemorrhagic tendency located in the tracheal wall 2.0 cm distal from the vocal cords. For pathological diagnosis, airway management and hemorrhage control, tumor resection was performed using a rigid bronchoscope and neodymium yttrium aluminum garnet (Nd-YAG) laser under general anesthesia. Histologically, the tumor was diagnosed as an inflammatory myofibroblastic tumor of the trachea. Inflammatory myofibroblastic tumor is typically a benign tumor that develops in such sites as the lung, stomach, and mesentery. To the best of our knowledge, this is the first reported case of an inflammatory myofibroblastic tumor arising in the trachea.
一名45岁女性因呼吸困难主诉入院。计算机断层扫描(CT)和支气管镜检查显示,在声带下方2.0 cm处的气管壁上有一个10 mm的腔内息肉样肿瘤,表面光滑,有出血倾向。为进行病理诊断、气道管理和控制出血,在全身麻醉下使用硬支气管镜和钕钇铝石榴石(Nd-YAG)激光进行了肿瘤切除。组织学上,该肿瘤被诊断为气管炎性肌纤维母细胞瘤。炎性肌纤维母细胞瘤通常是一种良性肿瘤,发生于肺、胃和肠系膜等部位。据我们所知,这是首例报道的发生于气管的炎性肌纤维母细胞瘤病例。