Adenoid Cystic Carcinoma of the Trachea Diagnosed by Fine Needle Aspiration Biopsy
Adenoid Cystic Carcinoma of the Trachea Diagnosed by Fine Needle Aspiration Biopsy
复制标题
细针抽吸活检诊断气管腺样囊性癌
DOI：
10.2468/jbes.50.5
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
R. Kawata
中科院分区：
文献类型：
--
作者：
N. Takagi;Tatsuyuki Fukushima;H. Onishi;Toshiaki Shibata;R. Kawata
一位57岁的女性来我院就诊，主诉呼吸困难。喉镜检查发现气管后壁有一肿瘤。CT和MRI检查显示肿瘤从气管发展而来。由于通过气管支气管镜进行肿瘤活检进行病理诊断存在一定的风险，例如出血和呼吸困难，因此首先在超声下进行细针抽吸活检，病理诊断为腺样囊性癌。在使用用于全身麻醉的细插管进行气管插管后，进行气管切开术，然后将手术切换为使用正常尺寸的管进行气管内插管。在安全范围内进行了气管喉切除术。提示细针穿刺活检是一种安全有效的气管肿瘤活检方法。
A 57-year-old woman visited our hospital complaining of a dyspnea feeling. A tumor was revealed in the posterior wall of the trachea by laryngoscopy. The tumor was shown to have a developed from the trachea by CT and MRI findings. Since a biopsy from the tumor by tracheobronchoscopy for pathological diagnosis poses certain risks, such as bleeding and dyspnea, fine needle aspiration biopsy under ultrasonography was first performed, and the pathological diagnosis was adenoid cystic carcinoma. After intubating the trachea with a thin intubation tube for general anesthesia, the tracheostomy was performed, and then the procedure was switched to intratracheal intubation a with normal-sized tube. A tracheo-laryngectomy was performed with a safety margin. This suggests that fine needle aspiration biopsy can be a safe and useful method for tracheal tumors.