• 제목/요약/키워드: Tracheal tumor

검색결과 72건 처리시간 0.024초

기관협착증의 외과적 치료 (Surgical Treatment of Tracheal Stenosis)

  • 조경수
    • Journal of Chest Surgery
    • /
    • 제22권5호
    • /
    • pp.834-838
    • /
    • 1989
  • Tracheal stenosis is being encountered more frequently as ventilatory support and cuffed tubes are increasingly used for treatment of respiratory failure. We experienced 13 cases of tracheal stenosis treated surgically at department of Thoracic and Cardiovascular Surgery, school of medicine, Kyung Hee university during the 4 years. The causes of tracheal stenosis were prolonged endotracheal intubation 5 cases, tracheostomy 3 cases, tracheal tumor 2 cases, thyroid tumor 1 case and congenital double aortic arch 1 case. The methods used to manage the tracheal stenosis were tracheal resection % end to end anastomosis 8 cases, 2 cases of subglottic stenosis were underwent primary laryngotracheal anastomosis, Lt. aortic arch division 1 case, and stent insertion 2 cases. In two cases, who had 6 cm in length of tracheal stenosis, we were underwent tracheal resection k end to end anastomosis with supralaryngeal release procedure. Postoperative courses were uneventful except one case with tracheal tumor.

  • PDF

원발성 악성 기관 종양 3례 (Primary Malignant Tracheal Tumor : 3 Cases)

  • 고중화;전영명;신상준;주희재
    • 대한기관식도과학회지
    • /
    • 제3권1호
    • /
    • pp.137-147
    • /
    • 1997
  • The rarity of primary tumor of the trachea, which was recently estimated in a circumscribed population to be 2.7 new cases per million per year, explains the relatively limited experience that has been acquired even by major institutions. Although there may already by a high degree of airway obstruction, tracheal tumors are usually misdiagnosed as bronchial asthma or chronic bronchitis because of its nonspecific symptoms. Surgery is the treatment of choice. Recently, the authors experienced three cases of primary tracheal malignant tumors ; one case of mucoepidermoid carcinoma and two cases of adenoid cystic carcinoma. The authors report on these cases with a review of the literature for give help in differential diagnosis and treatment planing of tracheal tumor.

  • PDF

악성 난소암에서 전이된 기관 종양 1예 (A Case of Metastatic Tracheal Tumor From Ovarian Carcinoma)

  • 최천웅;유지홍;오혜림;조용선;강홍모
    • Tuberculosis and Respiratory Diseases
    • /
    • 제50권4호
    • /
    • pp.499-503
    • /
    • 2001
  • 저자들은 7년 전 난소암으로 치료받고, 최근 호흡곤란이 발생하여 기관지 천식으로 오인된 환자가 흉부전산화단층촬영과 기관지내시경, 경기관지 조직검사를 통해 난소암으로부터 전이된 기관 종양으로 진단받은 1예를 경험하였기에 보고하는 바이다.

  • PDF

기관 재건술후 발생한 협착증에 대한 Microwave 조직응고법을 이용한 치료 -1례 보고- (A Micorowave Tissue Coagulation Therapy in the Restenosis of the Tracheal Reconstruction -A Case of Report-)

  • 김남혁
    • Journal of Chest Surgery
    • /
    • 제28권4호
    • /
    • pp.416-418
    • /
    • 1995
  • The microwave tissue coagulation therapy was originally used for hemostasis in the hepatic surgery, which is effectively applied in the endoscopic surgery such as the hemostasis of gastric ulcer or tumor bleeding, stenosis relieving of esophageal or rectal stenosis and tumor reduction in inoperable early cancer cases.We experienced one case of the restenosis after the tracheal reconstruction. The patient, who was 42 year-old male, had severe dyspnea due to the tracheal stenosis for 4 years. The resection of tracheal stenosis and tracheal reconstruction was done. But the restenosis occurred at the tracheal anastomosis site because of the protrusive granulation at one month after operation. The patient was successfully treated by the microwave tissue coagulation therapy.

  • PDF

양성 기관종양에서 치험한 광역학 치료의 근치적 효과 (A Case of Curative Photodynamic Therapy in Benign Tracheal Tumor)

  • 박재길;김재준;송정섭;왕영필
    • 대한기관식도과학회지
    • /
    • 제15권1호
    • /
    • pp.60-63
    • /
    • 2009
  • The photodynamic therapy (PDT) is a new treatment modality of destroying malignant tumors and pre-malignant lesions based on the use of photodynamical damage to tumor cells under the photochemical reactions. But the clinical reports of photodynamic application on the benign tumor of the internal organs were extremely rare. So we decribed our experience of one case of benign tracheal tumor successfully treated by PDT.

  • PDF

폐암에 의한 기관침범 환자에서 자가심막을 이용한 기관 성형술 (Tracheaoplasty with autologous pericardium for tracheal invasion in lung cancer)

  • 조현민;이두연;정은규
    • 대한기관식도과학회지
    • /
    • 제8권1호
    • /
    • pp.66-70
    • /
    • 2002
  • In patient with lung cancer, the resection margin of right main bronchus was invaded by tumor intraoperatively. So we performed tracheal reconstruction with autologous pericardium after resection of lower trachea including carina. Postoperatively, the patient discharged well and followed up for 5 months without any evidence of tumor recurrence or restenosis.

  • PDF

기관폐쇄를 동반한 기관 신경초종 환자에 있어 레이져를 이용한 부분절제술후 기관절제술의 경험 (Clinical Experience of Tracheal Resection after Laser Ablation in a Patient having Tracheal Neurilemoma with Tracheal Stenosis.)

  • 박성민;김광택
    • Journal of Chest Surgery
    • /
    • 제32권10호
    • /
    • pp.947-950
    • /
    • 1999
  • Tracheal neurilemoma, an extremely rare benign tracheal tumor that there has been only one case reported in 1996 throughout the nation, is a slowly progressing disease that obliterates the upper airway, delays diagnosis for its symptom similarity to asthma, and makes intubation for operation difficult. Bronchoscopic is therefore needed for diagnosis. There are two options for the treatment methods, a bronchoscopic resection or open surgical resection; however if intubation is difficult, then the bronchoscopic resection is used first to keep the airway open for the surgical resection. In this case, the severe tracheal stenosis impeding intubation made the surgical resection of the primary tracheal neurilemoma with extratracheal mass impossible; therefore, bronchoscopic laser resection was applied first to optain the airway passage for endotracheal intubation, followed by a successful open surgical resection.

  • PDF

기도평활근종 치험 1례 (Leiomyoma of the Trachea)

  • 서연호;김민호;김공수
    • Journal of Chest Surgery
    • /
    • 제32권10호
    • /
    • pp.951-953
    • /
    • 1999
  • Leiomyoma is extremely rare benign tumor of the trachea. A case of leiomyoma of the trachea is described in a 36-year-old man. The patient had a brief history of asthma-like symptoms. Computed tomography of the chest revealed the ovoid lower trachea mass, which was occupying about 80% of the tracheal lumen. At fiberoptic bronchoscopy highly vascularized round mass was seen on the membranous portion of the lower trachea. The tumor was excised by segmental sleeve resection and end-to-end anastomosis of the trachea was performed. Postoperative course was uneventful and bronchoscopic findings showed clear healing of the anastomotic site.

  • PDF

기도 폐쇄로 인한 삽관불능이 갑상선 암환자엣 심장폐우회 마취에 의한 치험 2예 (Two cases of femorofemoral cardiopulmonary bypass prior to induction of anaesthesia in the management of tracheal obstruction by thyroid cancer)

  • 왕수건;김기태;이병주;권재영;김영대;이강대
    • 대한기관식도과학회지
    • /
    • 제9권1호
    • /
    • pp.101-104
    • /
    • 2003
  • One of major problem in endotracheal intubation for general anesthesia is intrathoracic tracheal obstruction induced by tumor such as, intrathoracic goiter and malignant lymphoma etc. Small amount of secretion or hemorrhage and mild tracheal edema may cause aggravation of tracheal obstruction during endotracheal intubation. Also, it is too difficult to perform the emergency tracheostomy in middle tracheal obstruction. We tried to perform femorofemoral cardiopulmonary bypass without endotracheal intubation for induction of general anesthesia in case of middle tracheal obstruction and We reported with review of literature.

  • PDF