气管原发性透明细胞癌：一份符合CARE标准的病例报告。
Primary clear cell carcinoma of the trachea: A CARE-compliant case report.
作者信息
Li Min, Zhu Wenye, Khan Rana Sami Ullah, Saeed Ummair, Shi Shaoqing, Luo Zhuang
机构信息
Department of Respiratory Medicine Department of Pharmacy, First Affiliated Hospital of Kunming Medical University Postgraduate School of Kunming Medical University, Kunming, Yunnan, P.R. China.
出版信息
Medicine (Baltimore). 2017 Aug;96(31):e7709. doi: 10.1097/MD.0000000000007709.
RATIONALE
Primary clear cell carcinoma of the lung is a rare condition, and presentation as an endotracheal lesion is even more unusual. In this report, we present a patient with clear cell carcinoma occurring in the trachea, which obstructed the tracheal lumen and lead to the respiratory distress.
PATIENT CONCERNS
A 60-year old female patient was admitted due to a 6-month history of dyspnea with worsening symptoms for 1 month. Chest CT scan revealed a smooth nodular shadow with homogeneous density on the wall of upper trachea.
DIAGNOSIS
Bronchoscopy therapy and surgical removal of the tumor were performed. The histopathological diagnosis revealed clear cell carcinoma.
INTERVENTION
Surgical removal of the clear cell carcinoma was performed.
OUTCOMES
The patient recovered well after the surgery and is now being followed-up after hospital discharge.
LESSONS
Bronchoscopy is an essential tool for diagnosis of tracheal clear cell carcinoma. Surgical removal should be performed if possible.
原理
原发性肺透明细胞癌是一种罕见疾病，表现为气管内病变则更为少见。在本报告中，我们介绍了一名气管发生透明细胞癌的患者，该肿瘤阻塞气管腔并导致呼吸窘迫。
患者情况
一名60岁女性患者因6个月的呼吸困难病史入院，症状在1个月内加重。胸部CT扫描显示气管上段壁上有一个密度均匀的光滑结节状阴影。
诊断
进行了支气管镜检查治疗并手术切除肿瘤。组织病理学诊断为透明细胞癌。
干预措施
手术切除透明细胞癌。
结果
患者术后恢复良好，现已出院并接受随访。
经验教训
支气管镜检查是诊断气管透明细胞癌的重要工具。如有可能应进行手术切除。
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