Tracheal Tumors in a Case of Recurrent Gastric MALToma - A Case Report

氣道腫瘤併發於一胃黏膜淋巴瘤病患－病例報告

林裕軒(Yu-Hsuan Lin) ； 陳寬榮(Kuan-Jung Chen) ； 林哲斌(Che-Pin Lin)

《胸腔醫學》 19卷4期 (2004/08) Pp. 300-305

https://doi.org/10.29806/TM.200408.0012

摘要

一位49歲的女性病患主訴咳嗽、呼吸困難，持續約一週左右。胸部電腦斷層掃描及軟式支氣管鏡檢發現在氣管下段有多姿性腫瘤。病患有非特異性自體免疫病史且多年前罹患胃黏膜淋巴瘤。經化療緩解後，其胃淋巴瘤約一年後復發；再次施予相同化療後病患仍有相當程度的緩解，目前定期追蹤病況穩定。由於病人拒絕氣管黏膜切片檢查，故施予相同於治療胃淋巴瘤之化療處方後再次以支氣管鏡追蹤，令人興奮的觀察到氣管腫瘤完全緩解…。此外，我們也查閱相關文獻中氣管淋巴瘤的特性，以佐證本病為氣管淋巴瘤的可能性。

關鍵字

黏膜相關淋巴組織 ； 氣管相關淋巴組織

並列摘要

A 49-year-old female presented with cough and intermittent breathlessness for one week. Chest CT and fiberoptic bronchoscopy revealed multiple tumors in the lower trachea. The patient had been diagnosed with unclassified autoimmune disease in 1993. She also had a past history of gastric mucosa-associated lymphoid tissue lymphoma (MAL Toma) with recurrence, and had received two courses of chemotherapy with durable remission. We treated her tracheal tumors based on the previous lymphoma history, without tissue proof, and she reached complete remission. In this report, we review the characteristics of tracheal or bronchus-associated lymphoid tissue lymphomas (BAL Toma), as evidence for accepting the possibility of tracheal lymphoma in our case.

並列關鍵字

mucosa-associated lymphoid tissue ； bronchus associated-lymphoid tissue