Tracheal Fibroepithelial Polyp Treated with Endobronchial Cryotherapy Combined with Argon Laser: A Case Report and Literature Review

氣管纖維上皮息肉經支氣鏡內冷凍療法及合併氬雷射治療：病例報告和文獻綜述

謝曜鍵(Yao-Jian Hsieh) ； 蘇英傑(Ying-Chieh Su) ； 蔣士仁(Shyh-Ren Chiang) ； 葉麗青(Khin-Than Win) ； 陳佳慧(Chia-Hui Chen) ； 謝俊民(Jiunn-Min Shieh)

《胸腔醫學》 31卷5期 (2016/10) Pp. 288-293

摘要

氣管纖維上皮息肉是一罕見但良性的腫瘤，過去都以電燒或手術切除腫瘤，在這篇文章裡，我們呈現一位67 歲男性罹患氣管纖維上皮息肉，接受支氣管鏡下使用冷凍療法合併氬雷射切除腫瘤，術後追蹤3 個月仍無復發。

關鍵字

氣管 ； 纖維上皮息肉 ； 冷凍療法 ； 雷射治療 ； 支氣管內

並列摘要

A 67-year-old male presented with breathlessness and wheezing. On chest computed tomography (CT), a polyp-like tracheal tumor with partial stenosis of the lumen was detected. Routine chest X-ray did not detect the tumor. Diagnosis via flexible bronchoscopy might have potentially induced bleeding and further compromised the airway; therefore, a thoracic surgeon was consulted. The tumor, with an unknown origin and obstructive symptoms, was removed by cryotherapy combined with argon laser via rigid bronchoscopy, rather than by tracheal resection with reconstruction. The tumor was identified as a benign fibroepithelial polyp, which required no further therapy. A follow-up bronchoscopy 3 months later showed no recurrence.

並列關鍵字

trachea ； fibroepithelial polyp ； cryotherapy ； laser therapy ； endobronchial