Erdem VARGÖL, Süleyman CEBECİ, Erdoğan İNAL, Yusuf KIZIL, Utku AYDİL

Tracheal lymphoma presenting with acute and progressive dyspnea

Akut havayolu obstrüksiyonlarının en sık nedenleri arasında enfeksiyonlar, yabancı cisimler, larengeal tümörler ve allerjik reaksiyonlar yer alır. Primer trakeal tümörler oldukça nadir karşılaşılan akut havayolu obstrüksiyon nedenlerindendir. Trakeanın lenfoma tarafından tutulumu da nadir görülür. Bu olgu sunumunda akut ve ilerleyici havayolu obstrüksiyonu nedeniyle başvuran 58 yaşında bir kadın hasta bildirilmektedir. Hastada bilgisayarlı tomografi tetkiki sonucunda trakeayı tutan bir kitle tespit edilmiş, acil trakeotomi açılmış, insizyonel biyopsi alınmış, patolojik inceleme sonucunda mantle hücreli lenfoma tanısı konulmuştur. Hastada başka bir bölgede ya da lenf nodunda lenfoma tutulumu saptanmamıştır. Hasta, literatürdeki ikinci primer trakeal mantle hücreli lenfoma olgusudur.

Akut ve ilerleyici solunum sıkıntısı ile belirti veren trakeal lenfoma

The most common causes of acute airway obstructions are infections, foreign bodies, laryngeal tumors, and allergic reactions. Primary tracheal tumors are among very rare causes of acute airway obstructions. Tracheal involvement of lymphoma is also not common. In this case report, a 58 year-old woman who presented with acute and progressive airway obstruction was reported. A tracheal mass was detected on computed tomography scan, an emergency tracheostomy was performed, an incisional biopsy was taken, and the histopathological examination revealed a mantle cell variant of primary non- Hodgkin lymphoma of the trachea. Noother involved site or lymph node could be detected. This is the second primary tracheal mantle cell lymphoma case in the literature.

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