CLINICAL CASE OF ENDOSCOPIC REMOVAL OF TRACHEAL FIBROMA
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i3.11593Keywords:
tracheal fibroma, differential diagnosis, endoscopic removalAbstract
The incidence of primary tracheal tumors is less than 0.1 %. Тhey are often misdiagnosed as asthma or chronic lung disease and can delay treatment for months or years.
The following case of tracheal fibroma can be considered as a clinical example. The 40-year-old patient was referred to the Pulmonology Department of the Ternopil University Hospital with a diagnosis of severe refractory bronchial asthma. Despite intensive anti-asthmatic treatment, there was a gradual deterioration in spirometry. To clarify the diagnosis, the patient underwent computed tomography of the chest and found a tumor-like formation in the lumen of the trachea. The patient, diagnosed with a tumor of the trachea, was urgently referred to the Department of Thoracic Surgery for further diagnosis and treatment. Surgical treatment was performed using a flexible fibrobronchoscope under local anesthesia. An endoscopic diathermic loop was applied to the base of the tumor through the bronchoscope canal. The Olympus UES-30 electrosurgical apparatus was used for clipping in the serial coagulation mode of 30 W and in the cutting mode of 25 W. The tumor adhered to the endoscopic loop and was removed together with the bronchoscope.
Postoperative course without complications, during the observation period there were no attacks of shortness of breath, normalized spirometry.
Conclusions. The low frequency of clinical cases of tracheal neoplasms in the practice of a physician of therapeutic profile leads to low vigilance regarding this pathology. Difficulties in diagnosis are due to the low informativeness of the clinical picture at the stage of initial symptoms. Timely diagnosis allows endoscopic intervention and complete recovery of the patient.
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