Two-stage tracheal reconstruction of primary tracheal non-Hodgkin lymphoma with nitinol mesh stent and cervical myocutaneous flap.
Primary tracheal non-Hodgkin lymphoma is an extremely rare entity without consensus management strategy. We present a case of primary tracheal lymphoplasmacytoid lymphoma masquerading as asthma with wheezing and progressive dyspnea. A patented nitinol mesh stent was implanted in the right lateral cervical region 3 weeks before tumor resection. After 5.5-cm-long segmental tracheal resection, a neotracheal tube was constructed with cervical myocutaneous flap sandwiched around the implanted mesh stent, which was then anastomosed with the residual of the patient's trachea. The patient has been well for 30 months.
Cai
Chuang
C
Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. rashcc@gmail.com
Jiang
Ren Chao
RC
Li
Zhi Bin
ZB
Chen
Xiao Dong
XD
He
Mu Zhi
MZ
Liu
Lin
L
Zou
Xia Ying
XY
D000328:Adult; D000497:Alloys; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000601:surgery*; D013524:Surgical Flaps; D013526:Surgical Mesh; D019616:Thoracic Surgical Procedures / Q000379:methods; D014134:Tracheal Neoplasms / Q000601:surgery*
D000497:Alloys; C013616:nitinol