原发性气管腺泡细胞癌1例报告及文献复习  

Primary Bronchial Acinar Cell Carcinoma: A Case Report and Review of the Literature

作　　者：吴鑫浩 邴馨 朱方圆 赵卉 王敏 郭娜 刘成程 许风雷 刘学键 夏明[1,2] 

机构地区：[1]山东大学附属山东省立医院耳鼻喉科,山东 济南 [2]山东第一医科大学附属山东省立医院耳鼻喉科,山东 济南 [3]山东第一医科大学附属山东省医院病理科,山东 济南 [4]山东第一医科大学附属山东省医院中心实验室,山东 济南 [5]山东省第一康复医院肿瘤科,山东 济南

出　　处：《临床医学进展》2023年第4期5275-5281,共7页Advances in Clinical Medicine

摘　　要：背景:腺泡细胞癌(acinic cell carcinoma, ACC)是一种罕见的唾液腺恶性肿瘤,原发性肺内ACC更为罕见,主要通过手术切除肿瘤来治疗。总结:在本报告中,患者为一名8岁男孩,因原发性气管ACC伴间歇性呼吸困难入院。影像学检查和电子纤维喉镜检查显示,在主气管右侧壁(约在T1椎体水平)有一个不规则组织肿块,阻塞了约90%的气管。我们的医疗团队灵活采用低温等离子刀和内镜联合的方法,一次性完全切除肿瘤,避免了对患者造成严重创伤,病理结果证实为腺泡细胞癌。现该男孩已随访2年余,一直保持健康。结论:本病例报告提示低温等离子刀和内镜的联合应用技术在气管肿瘤治疗中的作用。Background: Acinar cell carcinoma is a rare malignant tumor of the salivary gland and Primary ac-inar cell carcinoma of the lung is even rarer. Surgical excision is its treatment mainly. Case Presen-tation/Summary: In the current report, a 8-year-old boy was admitted in our hospital for primary bronchial acinar cell carcinoma with intermittent dyspnea. Imaging examination and Electronic fi-ber laryngoscope revealed a large irregular tissue mass in the right side of the trachea (about the level of T1 vertebral body) blocking about 90% of the trachea. Our medical team flexibly adopted the combined application of low-temperature plasma knife and endoscopy to completely remove the tumor at one time, avoiding great trauma to the patient and the pathological findings confirmed the presentation of acinar cell carcinoma. The boy survived healthily until now (after operation 2 years). Conclusion: This case report draws attention to the importance of novel surgical resection with low-temperature plasma knife and endoscopy in trachea tumor.

关 键 词：原发性支气管腺泡细胞癌 手术切除 内镜检查 KI67 

分 类 号：R73[医药卫生—肿瘤]