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合并气管支气管曲霉菌病的支气管内脂肪瘤:一例报告

Endobronchial lipoma with tracheobronchial aspergillosis: A case report.

作者信息

Wang Yuanyuan, Teng Yongliang, Li Jie, Lin Tingting, Lu Na, Yuan Ye

机构信息

The Department of Anesthesiology.

The Department of Pathology.

出版信息

Medicine (Baltimore). 2021 Mar 19;100(11):e24381. doi: 10.1097/MD.0000000000024381.

Abstract

INTRODUCTION

Benign neoplasm of the endobronchial tree is quite rare, while endobronchial lipoma is extremely rare. Tracheobronchial aspergillosis is a relatively uncommon but severe form of invasive aspergillosis involving the tracheobronchial tree.

PATIENT CONCERNS

A 54-year-old male presented to our hospital for investigation and treatment of a cough and hemoptysis.

DIAGNOSIS

The diagnosis was confirmed as endobronchial lipoma with tracheobronchial aspergillosis.

INTERVENTIONS

The patient received pneumonectomy and voriconazole treatment.

OUTCOMES

The patient's postoperative course was uneventful, and he was discharged 10 days after surgery. The patient had no evidence of the fungal infection and recurrence during 1 year of follow-up.

CONCLUSION

Endobronchial lipoma is a rare benign lung tumor, and this is the first report of endobronchial lipoma with tracheobronchial aspergillosis. In patients with suspected endobronchial lipoma, especially those who present with hemoptysis as the initial symptom, it is advisable to exclude coexistent aspergillosis.

摘要

引言

支气管内良性肿瘤相当罕见,而支气管内脂肪瘤极为罕见。气管支气管曲霉菌病是一种相对不常见但严重的侵袭性曲霉菌病,累及气管支气管树。

患者情况

一名54岁男性因咳嗽和咯血到我院就诊以进行检查和治疗。

诊断

确诊为支气管内脂肪瘤合并气管支气管曲霉菌病。

干预措施

患者接受了肺切除术和伏立康唑治疗。

结果

患者术后恢复顺利,术后10天出院。在1年的随访期间,患者无真菌感染及复发迹象。

结论

支气管内脂肪瘤是一种罕见的良性肺肿瘤,这是支气管内脂肪瘤合并气管支气管曲霉菌病的首例报道。对于疑似支气管内脂肪瘤的患者,尤其是以咯血为首发症状的患者,建议排除并存并存存在曲霉菌病并存情况。

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