Combined chemotherapy and tracheobronchial stenting for life-threatening airway obstruction in a child with endobronchial non-Hodgkin lymphoma.
Endobronchial involvement in non-Hodgkin lymphoma is rare even in the presence of advanced disease. A 15-year-old boy presented with progressively worsening dyspnea with occasional hemoptysis for 1 week prior to admission. Three days later, he was intubated due severe dyspnea with complete atelectasis of the right lung. Fiberoptic bronchoscopy disclosed an endobronchial mass almost occupying the right main bronchus. He underwent partial resection of the endobronchial tumor with rigid bronchoscopy. An airway stenting was used in this patient because he had severe tracheal obstruction from the tumor. The compromised airway was alleviated by combined chemotherapy and tracheobronchial stenting.
Huang
I-Anne
IA
Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Hsia
Shao-Hsuan
SH
Wu
Chang-Teng
CT
Jaing
Tang-Her
TH
Lai
Shen-Hao
SH
Liu
Yun-Hen
YH
D000293:Adolescent; D000402:Airway Obstruction / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001980:Bronchi / Q000601:surgery; D001984:Bronchial Neoplasms / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D001999:Bronchoscopy; D016638:Critical Illness; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008297:Male; D001261:Pulmonary Atelectasis / Q000209:etiology / Q000628:therapy; D015607:Stents; D014132:Trachea / Q000601:surgery