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采用支气管内支架治疗淋巴瘤样肉芽肿病所致的中央气道阻塞。

Central airway obstruction from lymphomatoid granulomatosis treated with an endobronchial stent.

作者信息

Greenberg Daniel J, Jaitovich Ariel, Madisi Nagendra

机构信息

Albany Medical Center, Division of Pulmonary and Critical Care Medicine, Albany, NY, USA.

出版信息

Respir Med Case Rep. 2022 Nov 8;40:101770. doi: 10.1016/j.rmcr.2022.101770. eCollection 2022.

Abstract

Lymphomatoid granulomatosis (LG) is an extremely rare disease and is an unusual cause of central airway obstruction (CAO) with no standard of treatment in these conditions. LG is characterized by angioinvasion and angioinfiltration along with lymphohistiocytic cells. We present a 21-year-old female with LG who developed endobronchial lesions causing malignant CAO and acute hypoxic respiratory failure. She was treated with argon plasma coagulation, as well as a self-expandable metallic stent in the left main bronchus. Her stent was removed 4 months later after chemotherapy. Endobronchial stenting may be a useful bridge in patients who are undergoing more definitive treatment.

摘要

淋巴瘤样肉芽肿病(LG)是一种极其罕见的疾病,是导致中央气道阻塞(CAO)的不常见病因,在这些情况下尚无标准治疗方法。LG的特征是血管侵袭和血管浸润以及淋巴细胞和组织细胞。我们报告一名21岁患有LG的女性,其发生支气管内病变导致恶性CAO和急性低氧性呼吸衰竭。她接受了氩等离子体凝固治疗,以及在左主支气管置入自膨式金属支架。化疗4个月后她的支架被取出。支气管内支架置入术可能是正在接受更确切治疗的患者的一种有用的过渡治疗手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bc5/9649944/bf98f75c5a9e/gr1.jpg

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