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一位 47 岁的亚裔女性，患有慢性淋巴细胞白血病导致的气管支气管腔占位性病变。

A 47-Year-old Asian female with tracheobronchial space-occupying lesions caused by chronic lymphocytic leukemia.

机构信息

Department of Respiratory and Critical Care Medicine, Binzhou Medical University Hospital, 661 Yellow River Road, Binzhou, 256603, China.

Department of Pathology, Binzhou Medical University Hospital, Binzhou, 256603, China.

出版信息

BMC Pulm Med. 2024 Oct 14;24(1):514. doi: 10.1186/s12890-024-03330-0.

DOI:10.1186/s12890-024-03330-0
PMID:39402476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11476803/
Abstract

A 47-year-old Asian woman was admitted with worsening chest tightness and dyspnea for 10 days. Computed tomography (CT) showed changes in the trachea and segmental bronchi. Pulmonary function results suggestive of severe obstructive ventilatory dysfunction. Bronchoscopic findings showed the presence of multiple nodular lesions in the patient's trachea and left and right main bronchi. Bronchoscopic biopsy, lymph node biopsy and bone marrow aspiration flow cytometry test results led to a definitive diagnosis of chronic lymphocytic leukemia (CLL), staged as Binet stage B and Rai stage 2.

摘要

一位 47 岁的亚裔女性因胸闷和呼吸困难加重入院，病程已达 10 天。计算机断层扫描（CT）显示气管和肺段支气管改变。肺功能检查结果提示严重阻塞性通气功能障碍。支气管镜检查发现患者气管和左右主支气管存在多个结节状病变。支气管镜活检、淋巴结活检和骨髓抽吸流式细胞术检测结果明确诊断为慢性淋巴细胞白血病（CLL），分期为 Binet B 期和 Rai 2 期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/f297928338f5/12890_2024_3330_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/051aa50c4af5/12890_2024_3330_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/eafa17f954a0/12890_2024_3330_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/f3f0749d53c3/12890_2024_3330_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/5b10f693f46e/12890_2024_3330_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/f297928338f5/12890_2024_3330_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/051aa50c4af5/12890_2024_3330_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/eafa17f954a0/12890_2024_3330_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/f3f0749d53c3/12890_2024_3330_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/5b10f693f46e/12890_2024_3330_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b62f/11476803/f297928338f5/12890_2024_3330_Fig4_HTML.jpg

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Safety and feasibility of oesophageal ultrasound for the work-up of thoracic malignancy in patients with respiratory impairment.食管超声检查在呼吸功能受损患者胸部恶性肿瘤诊断中的安全性和可行性。
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