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经可弯曲支气管镜切除气管下段的球瘤:2例报告

Removal of glomus tumor in the lower tracheal segment with a flexible bronchoscope: report of two cases.

作者信息

Shang Yan, Huang Yi, Huang Hai-dong, Bai Chong, Dong Yu-chao, Zhao Li-jun, Li Qiang

机构信息

Department of Respiratory Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China.

出版信息

Intern Med. 2010;49(9):865-9. doi: 10.2169/internalmedicine.49.3013. Epub 2010 Apr 30.

Abstract

Tracheal glomus tumor is an extremely rare neoplasm resected mostly by open surgery or through rigid bronchoscopy. We report two cases presenting with polypoid masses arising from the tracheal membrane in the posterior wall of the lower tracheal segment. The tumor was removed by high-frequency electrocautery and flexible bronchoscopic argon-plasma coagulation, and follow-up bronchoscopy and chest CT did not reveal tumor recurrence 12 months after the operation. In patients with tracheal glomus tumor who have poor surgical tolerance or are not willing to receive an open surgery, flexible bronchoscopic tumor removal can be a good alternative to relieve the airway obstruction symptoms.

摘要

气管球瘤是一种极其罕见的肿瘤,大多通过开放手术或硬质支气管镜切除。我们报告两例病例,表现为下气管段后壁气管膜部出现息肉样肿物。通过高频电灼和软性支气管镜氩等离子体凝固术切除肿瘤,术后12个月的随访支气管镜检查和胸部CT未发现肿瘤复发。对于手术耐受性差或不愿接受开放手术的气管球瘤患者,软性支气管镜下肿瘤切除可以作为缓解气道阻塞症状的良好替代方法。

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