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首页> 外文期刊>BMC Pulmonary Medicine >Bronchoscopic management of solitary bronchial myelolipoma: a case report
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Bronchoscopic management of solitary bronchial myelolipoma: a case report

机译：支气管镜治疗孤立性支气管骨髓炎的病例报告

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摘要

Myelolipoma is a rare benign tumor composed of mature adipose and hematopoietic tissues. Most myelolipomas are found in the adrenal glands, whereas intrathoracic myelolipoma is extremely rare. In particular, bronchial myelolipoma without the involvement of lung parenchyma has never been reported. A previously healthy 38-year-old male developed dyspnea and a productive cough. Computed tomography revealed an endobronchial mass at the right bronchus intermedius and subsequent atelectasis of the right middle and lower lobes. Flexible bronchoscopy found a total obstruction of the right bronchus intermedius due to an endobronchial tumor. Using a rigid bronchoscope, the endobronchial tumor was resected and the base of the tumor was additionally ablated with a diode laser to prevent recurrence. The removed endobronchial tumor was a 13?mm?×?20?mm-sized oval-shaped mass and was pathologically diagnosed as bronchial myelolipoma. Chest radiographs, obtained on the day following the procedure, showed an improvement of atelectasis, and accompanying symptoms were immediately improved. Follow-up bronchoscopy performed after 12?months evidenced no recurrence of the bronchial myelolipoma. We used bronchoscopic intervention in patients with solitary bronchial myelolipoma and there was no evidence of recurrence.
机译：骨髓脂肪瘤是一种罕见的良性肿瘤，由成熟的脂肪和造血组织组成。大多数骨髓脂肪瘤见于肾上腺，而胸腔内骨髓脂肪瘤极为罕见。尤其是从未报道过不涉及肺实质的支气管骨髓炎。先前健康的38岁男性发展为呼吸困难和咳嗽。计算机断层扫描显示右中间支气管内有支气管内肿块，随后右中下叶肺不张。柔性支气管镜检查发现，由于支气管内肿瘤，右中间支气管完全阻塞。使用刚性支气管镜，切除支气管内肿瘤，并用二极管激光器另外消融肿瘤的根部，以防止复发。切除的支气管内肿瘤为13？mm？×？20？mm大小的椭圆形肿块，经病理诊断为支气管骨髓脂肪瘤。术后第二天获得的胸部X光片显示肺不张得到改善，并且伴随的症状得到了立即改善。 12个月后进行的后续支气管镜检查未发现支气管骨髓脂肪瘤复发。我们对单发性支气管骨髓脂肪瘤患者进行了支气管镜干预，没有复发的证据。

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