Leiomyoma of the Trachea: A Rare Tracheal Tumor

Prof. Dr Iftekhar Ahmed, Dr. Niaz Hussain Soomro, Muhammad Ashhal Iftekhar, Sana Siddiqui
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引用次数: 0

Abstract

This is a case of a rare tracheal tumor, in a 45year old male farmer who presented with recurrent dyspnea for four years, initially misdiagnosed as asthma. The patient experienced worsening symptoms, including cough, hemoptysis, weight loss, and respiratory failure. Imaging and bronchoscopy revealed a tracheal mass, later identified as leiomyoma. The patient underwent tumor resection via rigid bronchoscopy, resulting in successful removal and tracheal recanalization. Postoperatively, the patient showed improvement, and follow-up examinations confirmed resolution of symptoms and absence of tumors, such as leiomyoma, are rare, often causing airway obstructions. Treatment approaches vary, including surgical resection and endoscopic techniques. In the case of wide-based tumors, surgical intervention is recommended to reduce recurrence risks. Anesthesia management is crucial due to potential airway compromise during the procedure. Although recurrence rates for leiomyoma are unknown, incomplete bronchoscopic resection has been associated with reoccurrence, necessitating surgery and carinal reconstruction.
气管平滑肌瘤:一种罕见的气管肿瘤
这是一例罕见的气管肿瘤,45岁男性农民,复发性呼吸困难4年,最初误诊为哮喘。患者症状加重,包括咳嗽、咯血、体重减轻和呼吸衰竭。影像学及支气管镜检查显示气管肿块,后确认为平滑肌瘤。患者通过刚性支气管镜切除肿瘤,成功切除并气管再通。术后患者病情好转,随访检查证实症状消失,无肿瘤,如平滑肌瘤,罕见,常引起气道阻塞。治疗方法多种多样,包括手术切除和内窥镜技术。对于基底较宽的肿瘤,建议手术干预以降低复发风险。由于手术过程中潜在的气道损伤,麻醉管理是至关重要的。虽然平滑肌瘤的复发率尚不清楚,但不完全支气管镜切除与复发有关,需要手术和隆突重建。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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35
审稿时长
16 weeks
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