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3D打印辅助切除26岁女性气管内腺样囊性癌及纵隔成熟囊性畸胎瘤:一例报告

3D-printing aided resection of intratracheal adenoid cystic carcinoma and mediastinal mature cystic teratoma in a 26-year-old female: a case report.

作者信息

Lu Di, Feng Siyang, Liu Xiguang, Dong Xiaoying, Li Mei, Wu Hua, Ren Pengfei, Diao Dingwei, Cai Kaican

机构信息

Department of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

出版信息

J Thorac Dis. 2018 Feb;10(2):E134-E137. doi: 10.21037/jtd.2018.01.62.

Abstract

Complete resection remains the ideal treatment for most patients with primary intratracheal tumors. Due to the limit in the resection length, the localization of the tumor during the surgery could be rather difficult if it hasn't invaded out of the trachea, which might be more difficult when there's another tumor in the anterior mediastinum. A 26-year-old woman with intratracheal adenoid cystic carcinoma (ACC) presented with dyspnea. CT scan revealed not only an ACC without extension out of trachea, but also a mediastinal teratoma (MT) near aorta, making the operation much more complicated than usual. To solve this problem, 3D-printing was applied for facilitating surgery plan making and intraoperative locating of ACC. And as we expected, the operation went successfully and the patient achieved full recovery without complications. To the best of our knowledge, the case of both intratracheal ACC and MT in one patient has not been previously reported.

摘要

对于大多数原发性气管肿瘤患者而言,完整切除仍然是理想的治疗方法。由于切除长度受限,如果肿瘤尚未侵犯气管外,手术中肿瘤的定位可能相当困难,而当前纵隔存在另一个肿瘤时,定位可能会更加困难。一名患有气管腺样囊性癌(ACC)的26岁女性出现呼吸困难。CT扫描显示不仅有一个未侵犯气管外的ACC,而且在主动脉附近还有一个纵隔畸胎瘤(MT),这使得手术比平常更加复杂。为了解决这个问题,应用了3D打印技术来辅助手术方案制定和ACC的术中定位。正如我们所期望的,手术顺利进行,患者完全康复且无并发症。据我们所知,此前尚未报道过一名患者同时患有气管ACC和MT的病例。

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本文引用的文献

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Bronchoscopic resection of an exophytic endoluminal tracheal mass.经支气管镜切除腔内生长型气管肿物。
Ann Am Thorac Soc. 2013 Dec;10(6):697-700. doi: 10.1513/AnnalsATS.201308-252EM.
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Pathology of tracheal tumors.气管肿瘤的病理学。
Thorac Surg Clin. 2014 Feb;24(1):7-11. doi: 10.1016/j.thorsurg.2013.09.008.

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