Large isolated fibrous tumors in the upper esophagus: A case report  

作　　者：Jia-Jia Yu Huan-Shuang Pei Yu Meng 

机构地区：[1]Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China

出　　处：《World Journal of Gastrointestinal Oncology》2024年第2期543-549,共7页世界胃肠肿瘤学杂志（英文版）（电子版）

摘　　要：BACKGROUND Solitary fibrous tumors(SFT)are rare spindle cell tumors that are usually benign.A total of 10 cases of SFTs in the upper esophagus have ever been reported.Here,we report the anesthetic management of a patient with a large isolated fibrous tumor of the upper esophagus compressing the tracheal membrane.We also provide a literature review of the current research.CASE SUMMARY We report the case of a 49 year old male with“cough aggravation and wheezing after exercise”,who underwent esophagectomy for a large isolated fibrous tumor compressing the tracheal membrane in the upper esophagus.We advise the use of a single-lumen tube with a blocker in patients with difficult airways to reduce the incidence of airway injury and fibrinoscopy at all stages of the perioperative period to guide airway management.This case study is the first report of the anesthetic management of a large,isolated fibrous tumor compressing the tracheal membrane in the upper esophagus.CONCLUSION This rare case emphasizes the importance of perioperative management of anesthesia in patients with large isolated fibrous tumors of the upper esophagus that compress the tracheal membrane.The use of blocker reduce the incidence of airway injury and fibrinoscopy at the perioperative period to guide airway mana-gement.

关 键 词：Upper esophagus Isolated fibrous tumor Tracheal membrane Peak airway pressure Case report 

分 类 号：R735.1[医药卫生—肿瘤]