1.Clinical Experience of Tracheal Resection after Laser Ablation in a Patient having Tracheal Neurilemoma with Tracheal Stenosis.
Sung Min PARK ; Kwang Taik KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(10):947-950
Tracheal neurilemoma, an extremely rare benign tracheal tumor that there has been only one case reported in 1996 throughout the nation, is a slowly progressing disease that obliterates the upper airway, delays diagnosis for its symptom similarity to asthma, and makes intubation for operation difficult. Bronchoscopic is therefore needed for diagnosis. There are two options for the treatment methods, a bronchoscopic resection or open surgical resection; however if intubation is difficult, then the bronchoscopic resection is used first to keep the airway open for the surgical resection. In this case, the severe tracheal stenosis impeding intubation made the surgical resection of the primary tracheal neurilemoma with extratracheal mass impossible; therefore, bronchoscopic laser resection was applied first to optain the airway passage for endotracheal intubation, followed by a successful open surgical resection.
Asthma
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Diagnosis
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Humans
;
Intubation
;
Intubation, Intratracheal
;
Laser Therapy*
;
Neurilemmoma*
;
Tracheal Neoplasms
;
Tracheal Stenosis*
4.Adenoid cystic carcinoma of trachea: a case report and review of literature.
Wen LI ; Wen HUA ; Fu-Gui YAN ; Hua-Hao SHEN ; Hao XU
Chinese Medical Journal 2012;125(12):2238-2239
Primary tracheal tumors are relatively rare. Here we report one case of primary adenoid cystic carcinoma of the trachea which was ever misdiagnosed as asthma and hysteria. In this case, the pulmonary function test was normal, and firstly no obvious abnormalities were found in laryngoscopy, bronchoscopy and CT scan of chest. Later a sagittal and coronal reconstruction CT scan of trachea showed a mass situated in the subglottic trachea. Lastly a laryngoscopy was again done after a tracheal incision and showed a small mass in the posterior wall of the subglottic trachea, and tumor ablation was performed. In addition, we reviewed the literature of primary tracheal tumors and summarized the epidemiology, presenting features, available therapeutic options of the disease.
Carcinoma, Adenoid Cystic
;
diagnosis
;
Female
;
Humans
;
Middle Aged
;
Tracheal Neoplasms
;
diagnosis
5.Primary endotracheal non-Hodgkin's lymphoma in a Chinese woman: a case report.
Wei-dong ZHANG ; Shi-yue LI ; Ming OUYANG ; Nan-shan ZHONG
Chinese Medical Journal 2005;118(8):702-704
Adult
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Female
;
Humans
;
Lymphoma, Non-Hodgkin
;
diagnosis
;
pathology
;
Tracheal Neoplasms
;
diagnosis
;
pathology
7.Diagnosis and surgery of primary tracheal neoplasms in children.
Da-bo LIU ; Jian-wen ZHONG ; Li-feng ZHOU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2009;44(4):337-338
Bronchoscopy
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Child
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Child, Preschool
;
Female
;
Humans
;
Infant
;
Male
;
Retrospective Studies
;
Tracheal Neoplasms
;
diagnosis
;
surgery
8.Primary malignant airway neoplasms in 4 children.
Hong-wu WANG ; Yun-zhi ZHOU ; Dong-mei LI ; Nan ZHANG ; Heng ZOU ; Su-juan LIANG
Chinese Journal of Pediatrics 2011;49(8):618-621
OBJECTIVEPrimary airway neoplasms are extremely rare in the pediatric age group. This paper reports 4 children with primary airway neoplasms to explore the clinical manifestations, safety and efficacy of bronchoscopic interventions.
METHODThe data of pathology, photographic documentation and imaging studies were analyzed.
RESULTOf the 4 reported lesions, 2 were characterized by low-grade (2 with mucoepidermoid carcinoma) and 2 by high grade malignant (spindle cell carcinoma and malignant lymphoma). Onset of clinical manifestations occurred at the ages of 7 months to 7 years. All of them were initially misdiagnosed as bronchitis, asthma or atelectasis. The lesions located in trachea in 2 patients, in left bronchus of 1 patient and in right middle bronchus of 1 case. Atelectases occurred in bilateral bronchus where the lesions obstructed almost the entire lumen at the time of diagnosis. The diagnosis of airway masses depends upon maintaining a high index of suspicion, complemented by imaging and timely diagnostic endoscopy. The lesions were completely removed in 3/4 patients except 1 died during bronchoscopic procedures.
CONCLUSIONThe children with malignant airway neoplasms were presented with cough and wheezing without specific manifestations. Bronchoscopic interventions were effective in the treatment of non-operative cases. General anesthesia is strongly recommended for interventional bronchoscopy.
Bronchoscopy ; Child ; Child, Preschool ; Female ; Humans ; Male ; Retrospective Studies ; Tracheal Neoplasms ; diagnosis ; therapy
9.Small Cell Carcinoma of the Trachea: 1 case report.
Je Kyoun SHIN ; Jong Pil JUNG ; Sang Wan RYU ; Jae Hee SEO ; Jae Hoo PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(8):757-760
A rare small cell carcinoma of the trachea was managed in a 59 year old female patient. The diagnosis was confirmed by histopathological and immunohistochemical studies. Surgical resection and adjuvant chemotherapy were done. The patient died 6 months later due to multiple metastasis.
Carcinoma, Small Cell*
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Chemotherapy, Adjuvant
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Diagnosis
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Female
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Humans
;
Middle Aged
;
Neoplasm Metastasis
;
Trachea*
;
Tracheal Neoplasms
10.A Case of Granular Cell Tumor of the Trachea.
Mi Kyong JOUNG ; Yu Jin LEE ; Chae Uk CHUNG ; Jeong Eun LEE ; Sung Soo JUNG ; Sun Young KIM ; Ju Ock KIM
The Korean Journal of Internal Medicine 2007;22(2):101-105
A 20-year-old man presented to our outpatient clinic with hemoptysis, cough, and pleuritic chest pain. His chest radiograph and pulmonary function tests (PFT) were normal. A bronchoscopy showed a small yellowish patch with a regular surface. A direct bronchoscopic biopsy was performed. The pathologic findings showed a benign granular cell tumor. The respiratory symptoms resolved after biopsying the tumor. On follow?up, there were no signs of recurrence of the granular cell tumor after a period of 24 months.
Adult
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Chest Pain/*diagnosis/pathology
;
Granular Cell Tumor/*diagnosis/pathology
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*Hemoptysis
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Humans
;
Male
;
Tracheal Neoplasms/*diagnosis/pathology