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支气管黏液表皮样癌、复发性哮喘症状及妊娠期肺炎

Bronchial mucoepidermoid carcinoma, recurrent asthmatic symptoms, and pneumonia presenting in pregnancy.

作者信息

Shiiba Ritsuya, Himeji Daisuke, Beppu Kiichiro, Marutsuka Kousuke, Mitsuoka Masahiro, Nabeshima Kazuki

机构信息

Department of Internal Medicine Miyazaki Prefectural Miyazaki Hospital Miyazaki Japan.

Department of Surgery Miyazaki Prefectural Miyazaki Miyazaki Japan.

出版信息

Respirol Case Rep. 2020 Aug 5;8(7):e00626. doi: 10.1002/rcr2.626. eCollection 2020 Oct.

Abstract

We report the case of a 37-year-old pregnant Japanese woman (34th week of gestation) with a left main bronchus mucoepidermoid carcinoma. She had left lower lung pneumonia episodes for eight weeks that had been associated with bronchial asthma. Bronchoscopy revealed a membranous endobronchial tumour obstructing most of the left main bronchus. We delivered the baby without any problems by caesarean section, followed by tumour cauterization using a rigid bronchoscope under general anaesthesia. After that, we performed a sleeve resection of the main left bronchus. At one-year follow-up, the patient was disease-free and her baby was growing well.

摘要

我们报告了一例37岁的日本孕妇(妊娠34周),患有左主支气管黏液表皮样癌。她有持续八周的左下肺炎发作,伴有支气管哮喘。支气管镜检查发现一个膜性支气管内肿瘤阻塞了大部分左主支气管。我们通过剖宫产顺利产下婴儿,随后在全身麻醉下使用硬支气管镜对肿瘤进行烧灼。之后,我们对左主支气管进行了袖状切除术。在一年的随访中,患者无疾病复发,其婴儿生长良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba25/7788453/6004eac1480d/RCR2-8-e00626-g001.jpg

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