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胸腺瘤相关严重缩窄性细支气管炎伴支气管扩张和放疗相关性机化性肺炎行紧急肺移植 1 例报告。

Urgent lung transplantation for thymic neoplasm-associated severe constrictive bronchiolitis with bronchiectasis and radiotherapy-induced organizing pneumonia: A case report.

机构信息

Department of Thoracic Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Thorac Cancer. 2021 Jun;12(11):1757-1760. doi: 10.1111/1759-7714.13936. Epub 2021 Apr 8.

DOI:10.1111/1759-7714.13936
PMID:33830653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8169293/
Abstract

Here, we present the case of a 28-year-old woman who developed severe and progressive thymoma-associated constrictive bronchiolitis with bronchiectasis, despite undergoing thymectomy. The disease was further complicated by radiation-induced organizing pneumonia (RIOP), which developed after adjuvant radiotherapy (RT) for Masaoka stage II thymoma. The patient was successfully treated with an urgent lung transplantation (LTx) for irreversible respiratory failure.

摘要

这里,我们呈现了一例 28 岁女性的病例,其尽管接受了胸腺切除术,但仍发展为严重且进行性的胸腺瘤相关缩窄性细支气管炎伴支气管扩张症。该疾病进一步并发了放射性机化性肺炎(RIOP),这是在 II 期胸腺瘤辅助放疗(RT)后发生的。该患者因不可逆性呼吸衰竭而紧急接受肺移植(LTx)治疗,取得了成功。

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本文引用的文献

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Thymic neoplasms patients complicated with bronchiectasis: Case series in a Chinese hospital and literature review.胸腺瘤患者合并支气管扩张症:一家中国医院的病例系列及文献复习
Thorac Cancer. 2019 Apr;10(4):791-798. doi: 10.1111/1759-7714.13000. Epub 2019 Feb 13.
2
Radiation-Induced Organizing Pneumonia: A Characteristic Disease that Requires Symptom-Oriented Management.放射性肺炎:一种需要以症状为导向进行管理的特征性疾病。
Int J Mol Sci. 2017 Jan 27;18(2):281. doi: 10.3390/ijms18020281.
3
Radiation-induced organizing pneumonia after stereotactic body radiotherapy for lung tumor.
立体定向体部放疗治疗肺肿瘤后放射性机化性肺炎
J Radiat Res. 2015 Nov;56(6):904-11. doi: 10.1093/jrr/rrv049. Epub 2015 Sep 2.
4
The impact of thymoma histotype on prognosis in a worldwide database.全球数据库中胸腺瘤组织学类型对预后的影响。
J Thorac Oncol. 2015 Feb;10(2):367-72. doi: 10.1097/JTO.0000000000000393.
5
A consensus document for the selection of lung transplant candidates: 2014--an update from the Pulmonary Transplantation Council of the International Society for Heart and Lung Transplantation.肺移植候选人选择的共识文件:2014——国际心肺移植学会肺移植理事会的更新。
J Heart Lung Transplant. 2015 Jan;34(1):1-15. doi: 10.1016/j.healun.2014.06.014. Epub 2014 Jun 26.
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