Rispoli Marco, Salvi Rosario, La Cerra Giuseppe, Leone Carlo Antonio, Nicolai Ambra, Nespoli Moana Rossella, Corcione Antonio, Buono Salvatore
Department of Anesthesia and Intensive Care, Vincenzo Monaldi Hospital-AORN dei Colli, Naples, Italy.
Department of Thoracic Surgery, Vincenzo Monaldi Hospital-AORN dei Colli, Naples, Italy.
Ann Thorac Surg. 2017 Jul;104(1):e5-e7. doi: 10.1016/j.athoracsur.2017.02.018.
During embryonic development, the abnormal migration of thyroid tissue may cause ectopic localization of the gland in the intralaryngotracheal space. This case report describes the management of a young patient with a recent diagnosis of asthma. During bronchoscopy, a large mass occupying the tracheal lumen was discovered. After tracheotomy to protect the airway, an incisional biopsy was performed and revealed an intratracheal ectopic thyroid. The deep incisions through the tracheotomy to the base of the lesion allowed colloidal content to leak out of the mass until complete resolution of airway obstruction. Fifteen days later the patient was released totally rehabilitated.
在胚胎发育过程中，甲状腺组织的异常迁移可能导致腺体在喉气管腔内异位定位。本病例报告描述了一名近期诊断为哮喘的年轻患者的治疗情况。在支气管镜检查期间，发现一个占据气管腔的大肿块。在进行气管切开以保护气道后，进行了切开活检，结果显示为气管内异位甲状腺。通过气管切开至病变底部的深度切口使胶体内容物从肿块中漏出，直至气道梗阻完全解除。15天后，患者康复出院。
