Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1523-1527. doi: 10.1007/s11748-019-01274-5. Epub 2019 Dec 17.
We experienced a surgical case of a rare primary tracheal tumor. A 77-year-old woman visited a local clinic with chief complaints of coughing, wheezing, and discomfort in the throat. Computed tomography revealed a mass measuring approximately 1.5 cm in the mediastinal trachea, extending from the membranous portion of the trachea to the esophagus. Bronchofibroscopy showed a flat, smooth-surfaced, round mass arising from the membranous portion. Surgery was performed because of the possibility of airway obstruction and suffocation. Sleeve resection of five tracheal rings was performed via median sternotomy and interrupted suture was performed using 3-0 absorbable suture material. The postoperative course was favorable and there has been no evidence of recurrence. The pathological diagnosis was solitary fibrous tumor. A primary solitary fibrous tumor of the trachea is extremely rare. Here, we report this disease with a literature review.
我们遇到了一例罕见的原发性气管肿瘤的手术病例。一名 77 岁女性因咳嗽、喘息和喉咙不适到当地诊所就诊。计算机断层扫描显示纵隔气管内有一个大约 1.5 厘米的肿块,从气管的膜部延伸到食管。支气管纤维镜检查显示,一个扁平、光滑表面、圆形的肿块从膜部产生。由于气道阻塞和窒息的可能性,进行了手术。通过正中胸骨切开术进行了五个气管环的袖状切除术,并使用 3-0 可吸收缝线材料进行了间断缝合。术后过程顺利,无复发迹象。病理诊断为孤立性纤维瘤。原发性气管孤立性纤维瘤极为罕见。在此,我们结合文献复习报告该疾病。