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J. bras. pneumol ; 36(1): 148-155, jan.-fev. 2010. ilus
Article in Portuguese | LILACS | ID: lil-539446

ABSTRACT

Os tumores de traqueia são raros e podem ser de difícil diagnóstico, por mimetizarem outras afecções pulmonares de caráter obstrutivo, como asma e DPOC. Relatamos um caso de lipoma de traqueia em uma paciente que fora tratada para asma e DPOC, sem resposta adequada, até apresentar complicações infecciosas. A presença do tumor foi sugerida por TC de tórax e confirmada por fibrobroncoscopia. A paciente foi submetida à ressecção endoscópica do tumor; porém, evoluiu para o óbito por pneumonia e choque séptico.


Tracheal tumors are rare and can be difficult to diagnose due to their capacity to mimic other obstructive lung diseases, such as asthma and COPD. We report the case of a female patient with a tracheal tumor. She had previously been treated for asthma and COPD, with little response to the treatment. The onset of infectious complications prompted further investigation. Chest CT images suggested the presence of a tumor, which was confirmed by fiberoptic bronchoscopy. The tumor was endoscopically resected. However, the patient evolved to death due to pneumonia and septic shock.


Subject(s)
Aged, 80 and over , Female , Humans , Lipoma/pathology , Lung Diseases, Obstructive/diagnosis , Tracheal Neoplasms/pathology , Bronchoscopy , Diagnosis, Differential , Fatal Outcome , Fiber Optic Technology , Lung Diseases, Obstructive/drug therapy , Medication Errors
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