支气管内炎性肌母细胞瘤 (IMT)--解决问题的套筒

Nida S. Bham MD , Jess D. Schwartz MD, FACS
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引用次数: 0

摘要

肺炎性肌母细胞瘤是罕见的良性病变。这里我们提出一个15岁的男孩与阻塞性肺炎的情况。胸部计算机断层扫描显示左主支气管肿块,经支气管镜检查证实。行刚性支气管镜及核心切除术。病理检查结果符合炎性肌母细胞瘤。最初的核心切除术缓解了他的阻塞性肺炎;然而,一个月后再次支气管镜检查显示病变复发。采用保留实质的套筒切除术切除肿瘤。在80个月的随访中,患者没有复发或狭窄的迹象。
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Endobronchial Inflammatory Myoblastic Tumor (IMT)—A Sleeve to Solve the Issue
Inflammatory myoblastic tumors of the lung are rare benign lesions. Here we present the case of a 15-year-old boy with postobstructive pneumonia. Computed tomography of the chest revealed a mass in the left mainstem bronchus that was confirmed on bronchoscopy. A rigid bronchoscopy with core resection was performed. Findings on pathologic examination were consistent with an inflammatory myoblastic tumor. The initial core resection relieved his postobstructive pneumonia; however, repeat bronchoscopy a month later demonstrated recurrence of the lesion. The tumor was removed with a parenchymal-sparing sleeve resection. At 80 months of follow-up, the patient is without evidence of recurrence or stenosis.
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