在完全切除后的7年内,胸腺瘤的内复发
Kaoru Fukuyama1, Yasunobu Funakoshi1
1Department of Thoracic Surgery, Osaka General Medical Center, Osaka, Japan.
Interdisciplinary cardiovascular and thoracic surgery
|October 6, 2023
概括
复发性胸腺瘤是一种罕见的癌症,可在初始治疗后多年表现出来. 这一案例突显了通过支气管切除和放射治疗成功管理气管复发,为长期生存提供了希望.
科学领域:
- 胸部瘤学 胸部瘤学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 胸腺瘤是一种罕见的瘤,起源于胸腺.
- B2型胸腺瘤是一种具有更高复发风险的侵袭性亚型.
- 中胸瘤可能会带来重大的外科手术挑战.
研究的目的:
- 报告一种罕见的晚期肌内瘤复发的罕见病例.
- 描述诊断和治疗方法来管理由于复发性胸腺瘤导致的气道阻塞.
- 为了评估多模式治疗胸腺瘤复发的疗效.
主要方法:
- 诊断前中前瘤和随后的内内复发.
- 化疗后进行扩展性胸膜切除和邻近结构的部分切除.
- 刚性支气管检查用于内切除瘤.
- 术后放射治疗. 手术后的放射治疗.
主要成果:
- 实现了最初大规模的前端中体B2型胸腺瘤的完全切除.
- 手术后7年,在气管中发现了一种乳头软组织瘤,导致呼吸道几乎完全阻塞.
- 通过刚性支气管镜切除瘤确诊复发.
- 患者在治疗复发瘤的放射治疗后,在9个月内保持无疾病状态.
结论:
- 胸腺瘤的晚期内复发是可能的,即使在完全的初始切除后.
- 包括支气管切除和放射治疗在内的多模式治疗可以有效地控制气管胸腺瘤复发.
- 长期监测对于胸腺瘤患者至关重要,因为晚期复发的风险很大.
相关概念视频
Pneumothorax-II
176
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
176
Trachea
2.2K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.2K
Tracheostomy: Procedure and Tubes
689
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
689
Tracheostomy Decannulation
215
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
215
Tracheostomy Care II: Procedure
221
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
221


