Stevic R, Ercegovac M, Stojšić J, Čolić N
Faculty of Medicine, University of Belgrade; Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade; Clinic for Thoracic Surgery, Clinical Center of Serbia, Belgrade, Serbia.
J Postgrad Med. 2018 Apr-Jun;64(2):115-118. doi: 10.4103/jpgm.JPGM_739_16.
Primary tracheal tumors are rare and trachea is an exceedingly rare site of extramedullary plasmacytoma (EMP). We report a case of solitary tracheal plasmacytoma causing symptoms of airway obstruction in a 59-year-old man. Flow/volume loop indicated the fixed central airway obstruction. Computerized tomography and bronchoscopy demonstrated a sessile tumor on posterior tracheal wall obstructing 80% of the lumen. Partial tracheal resection with T-T anastomosis was performed. Pathologic analysis of resected mass revealed EMP. Additional investigations excluded multiple myeloma. There are no signs of disease recurrence after 7-year follow-up.
原发性气管肿瘤很罕见,气管是髓外浆细胞瘤(EMP)极为罕见的发病部位。我们报告一例59岁男性孤立性气管浆细胞瘤病例,该患者出现气道梗阻症状。流量/容积环显示为固定性中央气道梗阻。计算机断层扫描和支气管镜检查显示气管后壁有一息肉样肿物,阻塞管腔80%。行气管部分切除及T形吻合术。切除肿物的病理分析显示为EMP。进一步检查排除了多发性骨髓瘤。7年随访后无疾病复发迹象。