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罕见的大型气管血管球瘤,术后呕血。

A rare large tracheal glomus tumor with postoperative haematemesis.

机构信息

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

J Thorac Dis. 2013 Oct;5(5):E185-8. doi: 10.3978/j.issn.2072-1439.2013.09.02.

Abstract

Glomus tumors are uncommon benign tumors which usually arise from the distal portion of the digits. A tracheal glomus tumor with large size is extremely rare. We present a case of a large tracheal glomus tumor that was resected using posterolateral thoracotomy and successful primary reconstruction of the trachea was achieved. Severe haematemesis happened after the patient was discharged. An emergency exploratory thoracotomy was performed but no signs of anastomotic bleeding were observed, while intraoperative gastroscopy revealed plenty of blood and blood clots in the patient's stomach. Medical treatments targeting hemorrhage of upper digestive tract were given and the patient finally recovered.

摘要

血管球瘤是一种少见的良性肿瘤,通常起源于指(趾)末端。巨大的气管血管球瘤极其罕见。我们报告了 1 例巨大气管血管球瘤,通过后外侧开胸手术切除,成功地进行了气管的一期重建。患者出院后发生严重呕血。行急诊开胸探查术,但未观察到吻合口出血迹象,而术中胃镜检查显示患者胃内有大量血液和血凝块。给予上消化道出血的针对性治疗后,患者最终康复。

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本文引用的文献

1
Solitary glomus tumor recurring as multiple glomus tumors.单发血管球瘤复发为多发血管球瘤。
Skeletal Radiol. 2012 Sep;41(10):1333-7. doi: 10.1007/s00256-012-1410-9. Epub 2012 Jun 26.
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Glomangiomyoma of the trachea.气管血管肌脂肪瘤
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Selected unusual tumors of the stomach: a review.胃的罕见肿瘤精选综述
Int J Surg Pathol. 2012 Feb;20(1):5-14. doi: 10.1177/1066896911429300. Epub 2011 Nov 30.
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Extradigital glomus tumors: a 20-year experience.指外血管球瘤:20年经验总结
Mayo Clin Proc. 2006 Oct;81(10):1337-44. doi: 10.4065/81.10.1337.
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Glomus tumor of the trachea.气管球瘤
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