Maweni Robert Munashe, Manikavasagar Venughanan, Sunderland Nicholas, Chaudhry Sajid
Acute Medical Unit, Croydon University Hospital, London, UK.
Newcastle University Faculty of Medical Sciences, Newcastle upon Tyne, UK.
BMJ Case Rep. 2018 May 29;2018:bcr-2018-224872. doi: 10.1136/bcr-2018-224872.
An 83-year-old woman, with a background of treated squamous cell oesophageal cancer, presented with a 3-week history of stridor. Of note, the patient had no risk factors for oesophageal cancer other than age. Clinical examination was unremarkable apart from stridor. Laboratory investigations, including arterial blood gas on room air, were unremarkable. Radiological examination revealed a 4.5×3.5×3.6 cm mass involving the posterior trachea and invading the tracheal orifice. Oesophagogastroduodenoscopy and rigid bronchoscopy confirmed an extensive tumour arising from the lower oesophagus and invading the trachea, causing 90% airway obstruction for a 6 mm length ending 1.5 cm above the carina. Biopsy revealed a poorly differentiated carcinoma with foci of squamous cell carcinoma. Unfortunately, the patient passed away 2 months after palliative tracheal stent placement.
一名83岁女性，有鳞状细胞食管癌治疗史，出现喘鸣3周。值得注意的是，除年龄外，该患者无其他食管癌危险因素。除喘鸣外，临床检查无异常。实验室检查，包括室内空气下的动脉血气分析，均无异常。影像学检查显示一个4.5×3.5×3.6厘米的肿块，累及气管后部并侵犯气管开口。食管胃十二指肠镜检查和硬质支气管镜检查证实，肿瘤起源于食管下段并侵犯气管，导致气管隆突上方1.5厘米处6毫米长度的气道阻塞达90%。活检显示为低分化癌，伴有鳞状细胞癌灶。不幸的是，患者在姑息性气管支架置入术后2个月去世。
