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원발성 갑상선 림프종 환자의 기도확보를 위한 Endotracheal Stent 삽입 증례

A Case of a Temporary Endotracheal Stent for Airway Management in a Patient with Primary Thyroid Lymphoma

김영철 ( Kim Young-Chul ) - 경상대학교 의과대학 경상대학교병원 이비인후과학교실

여성철 ( Yeo Seong-Chul ) - 경상대학교 의과대학 경상대학교병원 이비인후과학교실
김진평 ( Kim Jin-Pyeong ) - 경상대학교 의과대학 경상대학교병원 이비인후과학교실
박정제 ( Park Jung-Je ) - 경상대학교 의과대학 경상대학교병원 이비인후과학교실

Abstract


Primary thyroid lymphoma is a rare malignancy that can grow rapidly and compress the airway. In such cases, a tracheostomy or thyroidectomy is generally required. Here, we report a case of a 76-year-old woman diagnosed with primary thyroid diffuse large B-cell lymphoma (DLBL), with dyspnea attributed to tracheal compression by the enlarged thyroid. The patient’s poor general condition meant that thyroidectomy was considered challenging. Therefore, a temporary endotracheal silicone stent was successfully inserted to maintain the airway, as tracheal stenting has been shown to be an effective treatment for both benign and malignant obstructive airway diseases. We conclude that, in patients with primary thyroid DLBL who present with airway compression but are not eligible for surgery, tracheal stent insertion can maintain the airway and allow time for chemotherapy to be administered.

키워드

Airway management ; Diffuse large cell lymphoma; Palliative care; Thyroid cancer
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