Sculerati N, Mittal K R, Greco M A, Ambrosino M M
Department of Otolaryngology, New York University Medical Center, NY 10016.
Int J Pediatr Otorhinolaryngol. 1990 Aug;19(3):295-301. doi: 10.1016/0165-5876(90)90011-f.
We describe a case of fibrous histiocytoma of the trachea diagnosed in a 17-year-old female who presented with symptoms of 'asthma'. Management included rigid bronchoscopy with biopsy and debulking of this obstructing tumor, later excised with partial tracheal resection. Although tracheal tumors are quite rare in children, the majority (6/9) of reported cases of fibrous histiocytoma of the trachea have been described in the pediatric age group. The possibility of a tracheal neoplasm as a cause of wheezing, stridor or hemoptysis in children should be recognized. Control of the airway without tracheotomy may facilitate surgical cure via tracheal resection in such cases.
我们描述了一例气管纤维组织细胞瘤，该病例发生在一名17岁出现“哮喘”症状的女性患者身上。治疗措施包括硬质支气管镜检查及活检，并对阻塞性肿瘤进行减瘤，随后通过部分气管切除术将肿瘤切除。尽管气管肿瘤在儿童中相当罕见，但已报道的气管纤维组织细胞瘤病例中，大多数（6/9）发生在儿童年龄组。应认识到气管肿瘤作为儿童喘息、喘鸣或咯血病因的可能性。在这类病例中，不进行气管切开而控制气道可能有助于通过气管切除术实现手术治愈。
