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一名老年患者出现逐渐加重的呼吸困难和干咳。

Gradually worsening dyspnea and dry cough in an elderly patient.

作者信息

Barisione Emanuela, Rossi Giovanni A, Salio Mario

机构信息

San Martino Hospital.

出版信息

Monaldi Arch Chest Dis. 2017 Jul 18;87(2):834. doi: 10.4081/monaldi.2017.834.

Abstract

Primary tracheal chondrosarcomas are an extremely rare condition that affect adult of all ages, 24% being more that 70 years old.  The progression may be slow, with symptoms that may continue up to 72 months before diagnosis is made. The clinical manifestations, that include a combination of nonproductive cough, wheezing, and dyspnea without hemoptysis often leads to misdiagnosis of asthma or chronic obstructive pulmonary disease. We report a case of an 87-year-old male, a Medical Doctor, with such a history, in whom a diagnosis of a tracheal chondrosarcoma was finally performed, 12 months after the first manifestation of the disease.

摘要

原发性气管软骨肉瘤是一种极其罕见的疾病,可发生于各年龄段的成年人,其中24%的患者年龄超过70岁。其病程可能进展缓慢,症状可持续长达72个月才得以确诊。临床表现包括干咳、喘息和呼吸困难,但无咯血,这些症状常常导致误诊为哮喘或慢性阻塞性肺疾病。我们报告一例87岁男性病例,该患者为一名医生,有上述病史,在疾病首次出现症状12个月后最终被诊断为气管软骨肉瘤。

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