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支气管成形术治疗类癌肿瘤。

Bronchoplasty for the treatment of carcinoid tumour.

作者信息

Zribi Hazem, Ben Ayed Ahmed, Abdelkbir Amina, Bouassida Imen, Maazaoui Sarra, Marghli Adel

机构信息

Thoracic Surgery Department Abderrahmen Mami University Hospital Ariana Tunisia.

Pneumology PAV II Department Abderrahmen Mami University Hospital Ariana Tunisia.

出版信息

Respirol Case Rep. 2020 Dec 3;9(1):e00680. doi: 10.1002/rcr2.680. eCollection 2021 Jan.

Abstract

Lung carcinoid tumours are rare neoplasms with a favourable prognosis. Bronchoplasty can be a conservative treatment for typical carcinoid tumours and can be applied for patients with limited respiratory function. We report the case of a 34-year-old woman, with a polypoid tumour located at the distal right main bronchus. Bronchial biopsy showed a typical carcinoid tumour. After resection of the tumour in the right main bronchus, bronchoplasty was performed by end-to-end anastomosis of the remaining right main bronchus, right upper lobar bronchus, and the upper bronchus intermedius. Bronchoscopy showed a good quality anastomosis with slightly reduced endoluminal calibre only. The post-operative period was uneventful and the patient was discharged at the seventh day. One year later, no complications occurred and the patient is still being followed up regularly.

摘要

肺类癌肿瘤是一种罕见的肿瘤,预后良好。支气管成形术可作为典型类癌肿瘤的保守治疗方法,适用于呼吸功能有限的患者。我们报告一例34岁女性病例,其右主支气管远端有一息肉样肿瘤。支气管活检显示为典型类癌肿瘤。在切除右主支气管肿瘤后,通过对剩余右主支气管、右上叶支气管和中间段上支气管进行端端吻合进行支气管成形术。支气管镜检查显示吻合质量良好,仅管腔内口径略有减小。术后过程顺利,患者于第七天出院。一年后,未发生并发症,患者仍在定期随访中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8adc/7713553/8f959cbe1414/RCR2-9-e00680-g001.jpg

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