临床误诊误治2016，Vol.29Issue(9)：11-13,3.DOI:10.3969/j.issn.1002-3429.2016.09.005
原发性气管平滑肌瘤一例诊治分析
Analysis of Primary Tracheal Leiomyoma (One Case Analysis)
王妍敏 1韩锋锋 1彭娟 1管雯斌 2杨天芸 1孙晋渊 1郭雪君1
作者信息
- 1. 200092 上海，上海交通大学医学院附属新华医院呼吸内科
- 2. 200092 上海，上海交通大学医学院附属新华医院病理科
- 折叠
摘要
Abstract
Objective To investigate the pathological and clinical features of primary tracheal leiomyoma in order to reduce the misdiagnosis and missed diagnosis rates. Methods Clinical data of 1 patient with primary tracheal leiomyoma ad-mitted to our hospital was retrospectively analyzed. Results A 58-year-old female was admitted for a cough accompanied by a fever, chest distress and a chest pain. Chest CT showed a nodule on the posterior wall of upper trachea. The pathological re-port of transbronchial biopsy was chronic inflammation of mucous membranes. PET-CT showed the right posterior wall of the thoracic inlet level tracheal for a lesion with increased fluorodeoxyglucose ( FDG) metabolism, indicating that it might be ma-lignant. A space occupying lesion was found on the posterior wall of the uterine body. The FDG metabolism of the lesion was increased. It was not certain whether it was infection of uterine fibroids or malignancy. The wall of the gastric antrum was thickened, with increased FDG metabolism ( which was confirmed by gastroscope biopsy to be astral gastritis) . High frequency electric snare via bronchoscope was used to inspect the lesion which was later confirmed as primary tracheal smooth muscle tumor by pathological examination ( excluding uterine origin) . The patient received symptomatic supportive treatment and was discharged after relief ( uterine fibroids specialist treatment) . One month later, the examination showed that the bronchial wall was healed, and slight extension could be seen. There was no obvious sign of recurrence, and a follow-up was recommended. Conclusion Primary tracheal leiomyoma is rare and not specific. It tends to be easily misdiagnosed as chronic bronchitis and asthma. Early 3-D spiral CT and bronchoscope are helpful in the diagnosis.关键词
平滑肌瘤/气管/误诊/肺肿瘤Key words
Leiomyoma/Trachea/Misdiagnosis/Lung neoplasm分类
医药卫生引用本文复制引用
王妍敏,韩锋锋,彭娟,管雯斌,杨天芸,孙晋渊,郭雪君..原发性气管平滑肌瘤一例诊治分析[J].临床误诊误治,2016,29(9):11-13,3.
