Gao Yan, Cao Zujiu
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Jan;27(1):51.
A 63-year-old male patient, with 5 years history of progressive dyspnea and aggravation for 1 year, was hospitalized in our hospital; and there was a slight cough, but no cough phlegm, chest pain, hemoptysis or hoarseness. Physical examination showed that there was a third-degree respiratory distress, obvious three depression sign, but no mass in the neck. Electronic laryngoscopy examination reported a mulberry-like mass in trachea about 1.5cm from the glottis. The tumor occupied 90% range of lumen with its base close to the anterior wall of trachea,and tumor could move up and down with cough airflow. After hospitalization, this patient received intratracheal tumor resection under local anesthesia, and postoperative pathology report showed endotracheal papillomatosis, covered by ciliated columnar epithelium.
一名63岁男性患者，有5年进行性呼吸困难病史，近1年加重，入住我院；有轻微咳嗽，但无咳痰、胸痛、咯血或声音嘶哑。体格检查显示为三度呼吸窘迫，有明显的三凹征，但颈部未触及肿块。电子喉镜检查报告在距声门约1.5cm处的气管内有一个桑葚样肿物。肿瘤占据管腔90%的范围，其基部靠近气管前壁，肿瘤可随咳嗽气流上下移动。该患者住院后在局部麻醉下行气管内肿瘤切除术，术后病理报告显示为气管内乳头状瘤病，被纤毛柱状上皮覆盖。
