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題 名 | Tracheal Neurilemmoma Mimicking Bronchial Asthma--A Dilemma of Difficult Diagnosis: Case Report=氣管神經鞘瘤似氣喘表現:病例報告 |
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作 者 | 林裕清; 林孟志; 陳澤卿; 黃崇旂; 李政輝; | 書刊名 | 長庚醫學 |
卷 期 | 22:3 1999.09[民88.09] |
頁 次 | 頁525-529 |
分類號 | 415.426 |
關鍵詞 | 氣管腫瘤; 神經鞘瘤; 氣喘; 流量-容積迴圈; 支氣管鏡檢; Tracheal tumor; Neurilemmoma; Bronchial asthma; Flow-volume loop; Bronchoscopy; |
語 文 | 英文(English) |
中文摘要 | 氣管腫瘤常因上呼吸道阻塞造成氣促或長期咳嗽而被診斷為氣喘病,通常要到症 狀相當嚴重時才能確定診斷。忽略氣管腫瘤的可能性常是造成延誤診斷的主因。氣管腫瘤中 又以惡性腫瘤為主,佔80%至90%。良性氣管腫瘤相當少見,而氣管神經鞘瘤更是少見。 本病例為一位19歲男性病患,幼年曾有氣喘病史,此次因長期咳嗽而輾轉轉診至本院,初 期亦當氣喘病治療。但病狀並未改善,加以其他客觀癥候,從而確定氣管腫瘤的存在,並開 刀切除。因此特殊病例,我們提出病例報告並對氣管神經鞘瘤的文獻加以回顧。同時,對於 鑑別上呼吸道阻塞的客觀癥候,亦加以強調。 |
英文摘要 | Tracheal tumors are often overlooked as a cause of pulmonary symptoms until they each an advanced state. They are often presented with a prolonged cough and shortness of breath. Most tracheal tumors in adults are cancerous (80% to 90%). Benign racheal tumors are rare in adult patients. A case history is presented of a 19-year-old patient with a rare tracheal neurilemmoma. He was treated as having bronchial asthna initially, but his signs and symptoms did not improve with traditional therapy. The possibility of the presence of an upper airway obstruction was not raised until the typical "inspiratory tubular sound" was heard. Flow-volume loop testing, bronchoscopy, and three-dimensional computed tomography (3-D CT) confirmed the diagnosis of upper airway obstruction caused by a tracheal tumor. Therefore, surgical intervention rather than bronchoscopic removal was preformed without difficulty. The patient was eading a stable life 8 months after a surgical resection. The presence of an upper airway obstruction can be proven by flow-volume loop testing and 3-D CT. Further pathologic confirmation can be accomplished by bronchoscopy. High suspicion of an upper airway obstruction such as a tracheal lesion should be raised when bronchial asthma patients fail to respond to conventional treatment. |
本系統中英文摘要資訊取自各篇刊載內容。