レーザー焼灼後に気管管状切除を行った気管多形性腺種の1例

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  • Pleomorphic adenoma of the trachea ablated by Nd-YAG laser followed by tracheal resection

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Pleomorphic adenoma is the most common form of major salivary gland tumor, but it is extremely rare in the trachea. We present a case of pleomorphic adenoma of the trachea in a 45-year-old female. She was admitted to our hospital because of severe dyspnea. The day before, she had undergone bronchoscopy and biopsy of a tracheal tumor at another hospital. Emergency bronchoscopy and Nd-YAG laser ablation of tracheal tumor was done under local anesthesia. A tracheal tube was then inserted beyond the tumor, and tracheal sleeve resection was done under general anesthesia. The pathological examination revealed a pleomorphic adenoma with focal atypical areas. The postoperative course was uneventful, and the patient is alive without recurrence 6 years after resection.

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