Abaalkhayl Mohammed
Department of Anesthesia and Intensive Care, College of Medicine, Qassim University, Buraydah, Qassim, Saudi Arabia.
Saudi J Anaesth. 2018 Jul-Sep;12(3):465-467. doi: 10.4103/sja.SJA_6_18.
A left lung mass after induction and tracheal intubation, which partially was obstructing the left main bronchus, was accidentally discovered in a 56-year-old female scheduled to undergo elective total thyroidectomy. Her preoperative chest X-ray showed a right-sided shift of the trachea. She did not have stridor or shortness of breath or superior vena cava obstructive syndrome. Induction and tracheal intubation were performed uneventfully. Fiberoptic bronchoscopy performed and showed complete obstruction on the left main bronchus. Excision biopsy suggested mucoepidermoid carcinoma (MEC). MEC is one of the very rare neoplasms of the lungs. Most lesions are low grade and overall prognosis may be more favorable than other forms of lung cancer.
在一位计划接受择期全甲状腺切除术的56岁女性患者中，诱导麻醉和气管插管后意外发现左肺有一肿块，该肿块部分阻塞左主支气管。她术前的胸部X光片显示气管向右移位。她没有喘鸣、呼吸急促或上腔静脉阻塞综合征。诱导麻醉和气管插管过程顺利。进行了纤维支气管镜检查，结果显示左主支气管完全阻塞。切除活检提示为黏液表皮样癌（MEC）。MEC是肺部非常罕见的肿瘤之一。大多数病变为低级别，总体预后可能比其他类型的肺癌更有利。
