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J Assoc Physicians India ; 71(12): 89-90, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38736058

RESUMO

A 41-year-old male presented to the Department of Pulmonary Medicine, with shortness of breath for 1 year. Though on treatment for bronchial asthma, he was not responding. The chest radiograph was normal (Fig. 1). On spirometric examination, the flow-volume curve showed flattening of the expiratory limb, suggesting variable intrathoracic obstruction. Fiber-optic bronchoscopy was, hence, done and it revealed a growth in the trachea (Fig. 2). Biopsy was deferred due to the risk of bleeding. Computed tomography (CT) of the chest also showed tracheal growth (Fig. 3). The patient was planned for rigid bronchoscopy. Meanwhile, the patient presented with expectoration of a piece of that growth. Histopathological examination revealed an adenoid cystic carcinoma (Fig. 4).


Assuntos
Asma , Broncoscopia , Carcinoma Adenoide Cístico , Humanos , Masculino , Carcinoma Adenoide Cístico/diagnóstico , Carcinoma Adenoide Cístico/diagnóstico por imagem , Adulto , Asma/diagnóstico , Diagnóstico Diferencial , Broncoscopia/métodos , Tomografia Computadorizada por Raios X , Neoplasias da Traqueia/diagnóstico , Neoplasias da Traqueia/diagnóstico por imagem
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