Koul Parvaiz A, Khan Umar H, Shah Tajamul Hussain, Dar Abdul Majid
Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
BMJ Case Rep. 2014 Feb 27;2014:bcr2013202369. doi: 10.1136/bcr-2013-202369.
A young woman was admitted with respiratory failure. Prior to her admission, she had been treated for clinical bronchial asthma for about 2 years for recurrent wheezing. Endotracheal intubation was difficult. A fibroptic bronchoscopy, while the patient was ventilated, revealed a central tracheal tumour compromising >90% of the tracheal lumen. The tumour was cored out during rigid bronchoscopy while ventilating the patient through tracheostomy. Histopathology of the tumour was suggestive of adenoid cystic carcinoma.
一名年轻女性因呼吸衰竭入院。入院前,她因反复喘息接受临床支气管哮喘治疗约2年。气管插管困难。在患者通气时进行的纤维支气管镜检查显示,中央气管肿瘤使气管腔狭窄超过90%。在硬质支气管镜检查期间,通过气管造口术为患者通气时,将肿瘤切除。肿瘤的组织病理学提示为腺样囊性癌。