Jortay A M, Bisschop P
Service ORL, CHU Brugmann, Bruxelles.
Acta Otorhinolaryngol Belg. 1998;52(3):247-51.
The case of a 76 year old man with a progressive upper respiratory distress due to a chondroma of the trachea is reported which necessitated a segmental tracheal resection with end-to-end anastomosis and restoration of the initial tracheal lumen. This case report is illustrative of a rare benign disease (10 cases described till today) originating from the cartilaginous rings of the trachea. The tumor usually appears as an upper airway obstructing syndrome and endoscopy is essential for establishing the diagnosis. Laser resection can be recommended for the treatment of limited lesions, whereas tracheal resection with end-to-end anastomosis is recommended for more advanced chondroma because it is prone to local recurrence and potentially exposed to malignant transformation into chondrosarcoma.
报告了一例76岁男性因气管软骨瘤导致进行性上呼吸道窘迫的病例，该病例需要进行气管节段切除并端端吻合，以恢复初始气管腔。本病例报告说明了一种罕见的良性疾病（迄今共描述了10例），起源于气管软骨环。该肿瘤通常表现为上气道阻塞综合征，内镜检查对于确诊至关重要。对于局限性病变，可推荐激光切除治疗；而对于更晚期的软骨瘤，推荐进行气管切除并端端吻合，因为它易于局部复发，且有潜在恶变为软骨肉瘤的可能。
