• Medicine · Jan 2024

    Review Case Reports

    Interventional treatment of giant tracheal lymphoma under rigid bronchoscopy: A case report and literature review.

    • Longju Zhang, Jiao Yang, Ju Wang, Jiahao Wu, Sulu Shen, and Chuwei Deng.
    • Department of Respiratory and Critical Care Medicine, The Third Affiliated Hospital of Zunyi Medical University/The First People's Hospital of Zunyi, Zunyi, China.
    • Medicine (Baltimore). 2024 Jan 12; 103 (2): e36736e36736.

    IntroductionLymphoma can appear in all parts of the body and present with different symptoms. However, bronchial lymphoma is rare and can be misdiagnosed as airway malignancy or lung disease.Patient: An older adult woman with tracheal lymphoma experienced severe breathing difficulties, and chest computed tomography indicated severe narrowing of the airway. She did not respond to repeated antibiotic treatment, and she was eventually diagnosed with lymphoma based on pathology after surgical removal of the tumor.DiagnosisThe patient received a diagnosis of thoracic tracheal stenosis due to intratracheal inflammatory granulomatous lesions or a tumor.InterventionsTreatment involved the use of a high-frequency electrotome, freezing, and argon plasma coagulation.OutcomesThe patient reported improvements in dyspnea, cough, and other symptoms after the operation. The pathological results confirmed follicular lymphoma. Reexamination by fiberbronchoscopy indicated that the degree of stenosis in the middle and upper tracheal segments was significantly reduced following interventional therapy.ConclusionEndoscopic interventional therapy can be an effective treatment for tracheal lymphoma.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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