Tracheal Carcinoma Causing Severe Tracheal Stenosis
A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass....
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| Published in | Nihon Kyōbu Shikkan Gakkai zasshi Vol. 34; no. 6; pp. 710 - 715 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan
The Japanese Respiratory Society
01.06.1996
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0301-1542 1883-471X |
| DOI | 10.11389/jjrs1963.34.710 |
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| Abstract | A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass. Tracheal carcinoma was diagnosed after transbronchoscopic biopsy. The patient received chemotherapy and radiation therapy concurrently for about six weeks. Her symptoms resolved, and a second flow-volume curve had a normal pattern. Tracheal carcinoma should be included in the differential diagnosis of airway obstruction. In such cases, the flow-volume curve can be useful as a screening test. |
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| AbstractList | A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass. Tracheal carcinoma was diagnosed after transbronchoscopic biopsy. The patient received chemotherapy and radiation therapy concurrently for about six weeks. Her symptoms resolved, and a second flow-volume curve had a normal pattern. Tracheal carcinoma should be included in the differential diagnosis of airway obstruction. In such cases, the flow-volume curve can be useful as a screening test. A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass. Tracheal carcinoma was diagnosed after transbronchoscopic biopsy. The patient received chemotherapy and radiation therapy concurrently for about six weeks. Her symptoms resolved, and a second flow-volume curve had a normal pattern. Tracheal carcinoma should be included in the differential diagnosis of airway obstruction. In such cases, the flow-volume curve can be useful as a screening test.A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass. Tracheal carcinoma was diagnosed after transbronchoscopic biopsy. The patient received chemotherapy and radiation therapy concurrently for about six weeks. Her symptoms resolved, and a second flow-volume curve had a normal pattern. Tracheal carcinoma should be included in the differential diagnosis of airway obstruction. In such cases, the flow-volume curve can be useful as a screening test. |
| Author | Kobayashi, Nobuyuki Kobayashi, Kunihiko Kudo, Koichiro Niino, Hitoshi Toh, Yasuo Yoshizawa, Atsuto Hojo, Masayuki Kubo, Masako Tanaka, Ryoichi Koshino, Takeshi Muramatsu, Hiroyasu Kabe, Junzaburo |
| Author_xml | – sequence: 1 fullname: Kubo, Masako organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Toh, Yasuo organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Kabe, Junzaburo organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Muramatsu, Hiroyasu organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Kudo, Koichiro organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Kobayashi, Kunihiko organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Yoshizawa, Atsuto organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Tanaka, Ryoichi organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Niino, Hitoshi organization: Department of Pathology, International Medical Center of Japan – sequence: 1 fullname: Koshino, Takeshi organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Hojo, Masayuki organization: Department of Pulmonology, International Medical Center of Japan – sequence: 1 fullname: Kobayashi, Nobuyuki organization: Department of Pulmonology, International Medical Center of Japan |
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| References | 4) Chow CC, Komaki R, Ribshitz HI, et al: Treatment of primary neoplasm of the trachea. Cancer 1993; 71: 2946. 7) Adachi MM, Parries RJ: Carcinoma of the trachea: A hidden tumor. Hospital Practice July 1993; 15: 81. 15) Manninen MP, Paakkala TA, Pukander JS, et al: Diagnosis of tracheal carcinoma at chest radiography. Acta Radiologica 1992; 33: 546. 5) 森田豊彦: 肺癌症例と比較した気管癌および気管分岐部癌の頻度と特徴 (全編: 頻度・他). 呼吸 1989; 8: 1104. 14) 池田聡之, 佐々木良二: 気管癌, 気管分岐部癌. 日本臨床, 領域別症候群, 呼吸器症候群 (下巻), 17, 1994. 1) Ranke EJ, Pressley SS, Holinger PH: Trachogenic carcinoma. JAMA 1962: 182: 519. 16) 本間栄, 貫和敏博, 飯島福生, 他: 気管支腺様嚢胞癌 (adenoidcystic carcinoma) の1手術例. 日胸, 41, 1982; 41: 826. 6) 佐野克郎, 川名正博, 野々村直文, 中野雄一, 気管癌5例の臨床. 日気食会報 10) Allen MS: Malignant tracheal tumors. Mayo Clin Proc 1993; 68: 680. 13) 前田淳子, 工藤秀雄, 難波煌治, 他: 原発性気管腫瘍の検討. 肺癌 1995; 35: 849. 3) Kryger M, Bode F, Antic R, et al: Diagnosis of obstruction of the upper and central airway. Am J Med 1976; 61: 85. 12) 後藤武近, 中川雅夫: Endotracheal neoplasmas. Endobronchial neoplasmas. 日本臨床, 領域別症候群, 呼吸器症候群 (下巻), 178, 1994. 9) 舩田純淳一, 池田聡之, 神代尚芳, 他: 体外照射 (CBDCA併用) 施行後, 管腔内照射を追加することにより著明な臨床効果を得た気管分岐部癌の1例. 日胸 1993; 52: 133. 2) Li W, Ellerbroek NA, Libshitz HI: Primary malignant tumors of the trachea. A radioligic and clinical study. Cancer 1990; 66: 894. 11) Manninen MP: Symptom and sign and their prognostic value in tracheal carcinoma. Eur Arch Otorhinolaryngol 1993; 250: 383. 8) Celder CM, Hetzel MR: Primary tracheal tumours: A national survey. Thorax 1993; 48: 688. |
| References_xml | – reference: 3) Kryger M, Bode F, Antic R, et al: Diagnosis of obstruction of the upper and central airway. Am J Med 1976; 61: 85. – reference: 9) 舩田純淳一, 池田聡之, 神代尚芳, 他: 体外照射 (CBDCA併用) 施行後, 管腔内照射を追加することにより著明な臨床効果を得た気管分岐部癌の1例. 日胸 1993; 52: 133. – reference: 15) Manninen MP, Paakkala TA, Pukander JS, et al: Diagnosis of tracheal carcinoma at chest radiography. Acta Radiologica 1992; 33: 546. – reference: 4) Chow CC, Komaki R, Ribshitz HI, et al: Treatment of primary neoplasm of the trachea. Cancer 1993; 71: 2946. – reference: 10) Allen MS: Malignant tracheal tumors. Mayo Clin Proc 1993; 68: 680. – reference: 14) 池田聡之, 佐々木良二: 気管癌, 気管分岐部癌. 日本臨床, 領域別症候群, 呼吸器症候群 (下巻), 17, 1994. – reference: 5) 森田豊彦: 肺癌症例と比較した気管癌および気管分岐部癌の頻度と特徴 (全編: 頻度・他). 呼吸 1989; 8: 1104. – reference: 16) 本間栄, 貫和敏博, 飯島福生, 他: 気管支腺様嚢胞癌 (adenoidcystic carcinoma) の1手術例. 日胸, 41, 1982; 41: 826. – reference: 2) Li W, Ellerbroek NA, Libshitz HI: Primary malignant tumors of the trachea. A radioligic and clinical study. Cancer 1990; 66: 894. – reference: 6) 佐野克郎, 川名正博, 野々村直文, 中野雄一, 気管癌5例の臨床. 日気食会報 – reference: 1) Ranke EJ, Pressley SS, Holinger PH: Trachogenic carcinoma. JAMA 1962: 182: 519. – reference: 11) Manninen MP: Symptom and sign and their prognostic value in tracheal carcinoma. Eur Arch Otorhinolaryngol 1993; 250: 383. – reference: 8) Celder CM, Hetzel MR: Primary tracheal tumours: A national survey. Thorax 1993; 48: 688. – reference: 13) 前田淳子, 工藤秀雄, 難波煌治, 他: 原発性気管腫瘍の検討. 肺癌 1995; 35: 849. – reference: 7) Adachi MM, Parries RJ: Carcinoma of the trachea: A hidden tumor. Hospital Practice July 1993; 15: 81. – reference: 12) 後藤武近, 中川雅夫: Endotracheal neoplasmas. Endobronchial neoplasmas. 日本臨床, 領域別症候群, 呼吸器症候群 (下巻), 178, 1994. |
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| SubjectTerms | Adenocarcinoma Adenocarcinoma - complications Female Flow-volume curve Humans Middle Aged Tracheal carcinoma Tracheal Neoplasms - complications Tracheal Stenosis - etiology |
| Title | Tracheal Carcinoma Causing Severe Tracheal Stenosis |
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