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模仿重症急性哮喘的气管内炎性肌成纤维细胞瘤

Intratracheal inflammatory myofibroblastic tumour mimicking severe acute asthma.

作者信息

Goussard Pierre, Gie Robert, Janson Jacques, Schubert Pawel

机构信息

Department of Child Health and Pediatrics, Stellenbosch University, Cape Town, South Africa.

出版信息

BMJ Case Rep. 2013 Jul 4;2013:bcr2013010232. doi: 10.1136/bcr-2013-010232.

Abstract

A 3-year-old boy presented with severe airway obstruction which was diagnosed as asthma. He improved but had repeated episodes of severe airway obstruction. On clinical examination, he had a tracheal cough and monophonic wheezing. Imaging revealed a large lesion in the distal part of the trachea which was confirmed by bronchoscopy. The lesion was surgically removed. Histology revealed features characteristic of an inflammatory myofibroblastic tumour. Following the resection there is no recurrence of the lesion.

摘要

一名3岁男孩因严重气道阻塞就诊,被诊断为哮喘。他的病情有所改善,但反复出现严重气道阻塞发作。临床检查时,他有气管性咳嗽和单音性哮鸣音。影像学检查显示气管远端有一个大病变,支气管镜检查证实了这一点。该病变通过手术切除。组织学检查显示具有炎性肌纤维母细胞瘤的特征。切除术后病变未复发。

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