Thoracic Surgery Unit, Second University of Naples, Nápoles, Italia.
Arch Bronconeumol. 2013 Jul;49(7):303-5. doi: 10.1016/j.arbres.2012.11.013. Epub 2013 Mar 6.
Amyloid deposition in tracheobronchial tree is a rare presentation and counts about 1% of benign tumors in this area. Herein, we describe a case of primary tracheobronchial amyloidosis which obstructed almost completely the distal trachea and the main left bronchus. The mass was successfully resected by mechanical resection and Nd-YAG laser coagulation during rigid bronchoscopy. Afterwards, a self-expanding Y-stent of new generation was inserted to restore airway patency. Five months later, radiological and bronchoscopic findings showed the stent in site, with normal patency of the tracheo-bronchial tree.
气管支气管树中的淀粉样物质沉积是一种罕见的表现,约占该区域良性肿瘤的 1%。在此,我们描述了一例原发性气管支气管淀粉样变性,其几乎完全阻塞了远端气管和主左支气管。通过硬质支气管镜下的机械切除和钕-钇铝石榴石激光凝固,成功地切除了肿块。之后,插入了新一代自膨式 Y 型支架以恢复气道通畅。五个月后,影像学和支气管镜检查发现支架在位,气管-支气管树通畅正常。