Amemiya Ryosuke, Takada Ikki, Yazaki Yuki, Ono Shotaro, Kou Keni, Morishita Yukio, Ikeda Norihiko, Furukawa Kinya
Department of Thoracic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami-machi, Ibaraki, Japan.
Department of Surgery, Tokyo Medical University, Tokyo, Japan.
Respir Med Case Rep. 2021 Nov 10;34:101550. doi: 10.1016/j.rmcr.2021.101550. eCollection 2021.
A 51-year-old man was found to have multiple polypoid tracheal and bilateral main bronchial tumors during postoperative follow-up of atypical carcinoid. He underwent transtracheal biopsy, and was diagnosed as having central airway metastases of the atypical carcinoid. He underwent chemotherapy, but the effects were unfavorable. Owing to the risk of airway obstruction, he was referred to our hospital for interventional bronchoscopy. Carcinoid tumors usually present as peripheral lung lesions or solitary endobronchial abnormalities, but rarely appear as multiple central airway lesions. We present a very rare case of multiple central airway metastases of atypical carcinoid, controlled by bronchoscopic treatment.
一名51岁男性在非典型类癌术后随访期间发现有多个息肉样气管及双侧主支气管肿瘤。他接受了经气管活检,被诊断为非典型类癌的中央气道转移。他接受了化疗,但效果不佳。由于存在气道阻塞风险,他被转诊至我院接受介入支气管镜检查。类癌肿瘤通常表现为周围型肺部病变或孤立性支气管内异常,但很少表现为多个中央气道病变。我们报告了一例非常罕见的非典型类癌多中央气道转移病例,通过支气管镜治疗得到了控制。