Pulmonology Department, Larrey University Hospital, Toulouse, France.
Hematology Department, University Cancer Institute of Toulouse, Toulouse, France.
Ann Thorac Surg. 2021 Feb;111(2):e109-e111. doi: 10.1016/j.athoracsur.2020.05.092. Epub 2020 Jul 13.
Endobronchial localizations of inflammatory myofibroblastic tumors are very unusual. We report the multimodal, bronchoscopic management of 3 cases, offering durable local control in all cases (including 2 patients who were definitively cured). Although surgery is usually considered the gold standard, therapeutic bronchoscopy should probably be considered as a frontline option for proximal lesions with limited base (< 10 mm) because of uncommon metastatic spread and delayed local recurrence. Of note, 1 of our cases is a rare airway case after allograft hematopoietic stem cell transplant.
气道内炎性肌纤维母细胞瘤非常罕见。我们报告了 3 例患者的多模态支气管镜治疗,所有患者均获得持久的局部控制(包括 2 例治愈的患者)。虽然手术通常被认为是金标准,但对于近端病变(基底<10mm),由于罕见的转移扩散和延迟的局部复发,治疗性支气管镜检查可能应该被视为一线选择。值得注意的是,我们的病例之一是异基因造血干细胞移植后的罕见气道病例。