Rizk Ayman, Salam Mohamed A, Elnahas Engy, Fekry Hasnaa, Salem Mohamed, Magdy Marwa, Zidan Mohamed, Nosseir Ayman, Eldowik Yasser, Kotb Adel, Mahmoud Mahmoud Ibrahim, Elmallawany Hatem
Interventional Pulmonology Unit of Alexandria Police Hospital, Egypt.
Chest Department of University Hospital of Alexandria, Egypt.
Respir Med Case Rep. 2020 Feb 10;29:101020. doi: 10.1016/j.rmcr.2020.101020. eCollection 2020.
We report a 25-year-old woman with persistent dyspnea and wheezes that had been unsuccessfully treated with inhaled beta 2-agonists and steroids for about one year. Spirometry demonstrated a restrictive pattern. Chest CT demonstrated polypoidal lesion in left main bronchus. The lesion was excised via rigid bronchoscopy. Pathology showed a picture of typical bronchial carcinoid. In this patient, due to the lack of awareness, diagnosis of carcinoid was delayed for one year.
我们报告一名25岁女性，有持续的呼吸困难和喘息症状，使用吸入性β2激动剂和类固醇治疗约一年，效果不佳。肺功能检查显示为限制性模式。胸部CT显示左主支气管有息肉样病变。通过硬质支气管镜切除了该病变。病理显示为典型的支气管类癌图像。在该患者中，由于认识不足，类癌的诊断延误了一年。
