Timik Kistin Eþlik Ettiði Trakeobronkopati Osteokondroplastika Olgusunda Cerrahi Tedavi
Kenan Can Ceylan, Hüseyin Mestan, Þeyda Örs KayaDr. Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi- Göðüs Cerrahisi Kliniði-izmir
Trakeabronkopatia osteokondroplastika nadir görülen, trakea ve bronþ lümenine doðru çýkýntý yapan çok sayýda osseöz ve kartilajönez nodüller ile karakterize benign bir hastalýktýr. Etyolojisi belli deðildir. Yetmiþ beþ yaþýnda kadýn hastaya bir yýldýr devam eden dispne ve öksürük þikayeti nedeni ile çekilen toraks bilgisayarlý tomografide trakea ve anterior mediastende kitle saptandý. Bronkoskopide trakeada yaklaþýk 4-5 kýkýrdak halka kadar ilerleyen, lümeni % 70’ ye yakýn daraltan kitle lezyonu görüldü. Distalinde karinaya yaklaþýk 2 kýkýrdak halka mesafe yerleþimliydi. Hastaya sað torakotomi ile trakeal sleeve rezeksiyon ile uç uca anastomoz ve timektomi operasyonu uygulandý. Histopatolojik incelemelerin sonucu trakeabronkopatia osteokondroplastika ve timik kist ile uyumlu olarak deðerlendirildi. Postoperatif dönemde kompikasyon geliþmedi. Olgu trakeabronkopatia osteokondroplastika ve timik kist birlikteliði çok nadir görüldüðü için sunulmuþtur.
Anahtar Kelimeler: Cerrahi, Timik kist, Trakeabronkopatia OsteokondroplastikaSurgical Treatment of a Case of Tracheobronchopathia Osteochondroplastica with a Thymic Cyst
Kenan Can Ceylan, Hüseyin Mestan, Þeyda Örs KayaDepartment of Thoracic Surgery, Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital-ÝZMÝR
Tracheobronchopathia osteochondroplastica is a rare benign disease that is characterized by multiple submucosal osseous and cartilaginous nodules in the tracheal bronchus. The etiology is not clear. A thoracic computed tomography of a 75 year-old female patient with complaints of dyspnea and cough for a year revealed two different lesions on the trachea and the anterior mediastinum. A bronchoscopy revealed a solid mass in the distal part of the trachea, affecting 4–5 cartilaginous rings and restricting the tracheal lumen by approximately 70%. The mass was located approximately two cartilaginous rings distant to the carina. A tracheal sleeve resection and thymectomy were performed through a right thoracotomy. The histopathological results indicated tracheobronchopathia osteochondroplastica and a thymic cyst. The postoperative follow up was uneventful. We report this rare case since the co-existence of tracheobronchopathia osteochondroplastica and the thymic cyst is a condition rarely seen in literature.
Keywords: Surgery, Thymic cyst, Tracheobronchopathia osteochondroplasticaOlgunun Tomografi Kesitleri
Sorumlu Yazar: Kenan Can Ceylan, Türkiye