Binesh Fariba, Samet Mohammad, Bovanlu Taghi Roshan
Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
BMJ Case Rep. 2013 Apr 22;2013:bcr2013009250. doi: 10.1136/bcr-2013-009250.
We present an uncommon case of a carcinoid tumour of the bronchus that was diagnosed during pregnancy in a 28-year-old woman. The patient was admitted at the emergency department with massive haemoptysis. Owing to the patient's critical condition, she underwent urgent flexible bronchoscopy. Bleeding was controlled by local injection of 500 mg tranexamic acid and electrocautery. After the bleeding has stopped, multiple specimens were taken. Histological examination confirmed typical carcinoid tumour. Owing to repeated haemoptysis, she was treated with bronchoscopic (electrocautery) therapy, and, after delivery, she underwent pulmonary lobectomy. Only a few similar cases were found in the literature reporting bronchopulmonary carcinoid tumour during pregnancy and we could not find any similar case which was treated by electrocautery.
我们报告一例罕见的支气管类癌肿瘤病例,该病例发生在一名28岁孕妇身上,在孕期被诊断出来。患者因大量咯血被紧急送往急诊科。由于患者病情危急,她接受了紧急柔性支气管镜检查。通过局部注射500毫克氨甲环酸和电灼术控制了出血。出血停止后,采集了多个样本。组织学检查证实为典型类癌肿瘤。由于反复咯血,她接受了支气管镜(电灼术)治疗,分娩后接受了肺叶切除术。在文献中仅发现少数孕期支气管肺类癌肿瘤的类似病例,我们未找到任何采用电灼术治疗的类似病例。