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The squamous cell carcinoma case that received long-term COPD treatment
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The squamous cell carcinoma case that received long-term COPD treatment
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Journal Article
The squamous cell carcinoma case that received long-term COPD treatment
2013
Overview
Çeşitli benign ve malign patolojilerden oluşan primer trakeal tümörler oldukça nadir görülürler. Malign trakeal tümörlü hastalar bazen astma ve kronik obstrüktif akciğer hastalığı (KOAH) gibi tıkanıklık yapan akciğer hastalıklarını taklit edebilirler ve herhangi bir iyileşme olmaksızın uzun süre bu tür hastalıkların tedavisini alabilirler. Bu nedenle bu tümörler trakeobronşial ağaç tıkanıklığı bulguları gösteren hastaların ayırıcı tanısına dahil edilmelidirler. Bu olgu sunumunda, uzun süre kronik obstrüktif akciğer hastalığı tanısı nedeniyle tedavi gören ve son zamanlarda artan şikayetleri hastalığının alevlenmesi olarak değerlendirilen, yaklaşık 3 ay takiplerinde düzelme olmayınca bronkoskopik olarak endotrakeal kitle lezyonu saptanarak tümörün bronkoskopik rezeksiyonu sonrası tam klinik iyileşme gözlenen skuamoz hücreli endotrakeal karsinom olgusu sunulmuştur.
Primary tracheal tumors are rare, and composed of various benign and malignant pathologies. They often can simulate obstructive pulmonary diseases, such as asthma and chronic obstructive pulmonary disease, and patients with malign tracheal tumors sometimes undergo long-term treatment for such diseases, without any improvement. Therefore, these tumors should be included in the differential diagnosis in patients presenting tracheobronchial tree obstruction. We present a squamous cell endotracheal carcinoma case that had received treatment with a diagnosis of chronic obstructive pulmonary disease for a long time. The recent increase in symptoms had been thought to be due to an exacerbation of the disorder but the bronchoscopy performed after 3 months of no improvement revealed an endotracheal mass lesion. Full recovery was obtained with bronchoscopic resection of the tumor.
