Caso Clínico/Clinical Case
Revisão dos tumores da traqueia – A propósito de um caso clínico de tumor adenóide cístico
Tracheal tumors review – A clinical case of adenoid cystic carcinoma
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A incidência destes tumores é inferior a 0,2 por 100 000 habitantes e 180 vezes menos frequente do que os tumores do pulmão.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">O porquê da sua raridade permanece por explicar. Possivelmente o fluxo turbulento na traqueia protege a mucosa do depósito de carcinogénios inalatórios.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam um caso clínico de um tumor adenóide cístico da traqueia em mulher de 23 anos, não fumadora, e com quadro agudo de estridor inspiratório onde a utilização do laser Nd-Yag foi de primordial importância, permitindo uma exérese parcial alargada e segura da massa tumoral que fazia obstrução de 80% do lúmen da traqueia, conseguindo a repermeabilização rápida da via aérea principal, evitando um quadro asfíxico iminente, enquanto a doente aguardava cirurgia.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (4): 527-534</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Tracheal tumours are rare, accounting for only about 0.3% of all bodily tumours.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Their incidence is less than 0.2 per 100 000 inhabitants and 180 times less frequent than lung cancer. The reason for their rarity is not so clear. It is possible that turbulent airflow in the trachea protects its mucosa from inhaled carcinogen deposits.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">The authors report a case of adenoid cystic carcinoma in a 23 year-old woman, non-smoker, with acute clinical inspiratory stridor, where Nd-Yag laser use was extremely important to tracheal permeability as the tumor occupied over 80% of the tracheal lumen and could have led to imminent patient asphyxia.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (4): 527-534</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Maria João Marques" 1 => "Renato Sotto-Mayor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Tratado de Pneumologia" "fecha" => "2003" "volumen" => "Vol. II" "paginaInicial" => "1273" "paginaFinal" => "1277" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary cancers of the trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H.E. Houston" 1 => "W.S. Payne" 2 => "E.G. Harrison Jr." 3 => "A.M. Olsen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1969" "volumen" => "99" "paginaInicial" => "132" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4183360" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheogenic carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.J. Ranke" 1 => "S.S. Presley" 2 => "P.H. Holinger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Am Med Assoc" "fecha" => "1962" "volumen" => "182" "paginaInicial" => "121" "paginaFinal" => "124" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Revisit of primary malignant neoplasms of the trachea: clinical characteristics and survival analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.Y. Yang" 1 => "Y.M. Chen" 2 => "M.H. Huang" 3 => "R.P. Perng" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Jpn J Clin Oncol" "fecha" => "1977" "volumen" => "27" "paginaInicial" => "305" "paginaFinal" => "309" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9390206" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheal cancers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.R. Jones" 1 => "F.C. Detterbeck" 2 => "B.E. Morris" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Diagnosis and treatment of lung cancer. An evidence based guide for the practicing clinician" "paginaInicial" => "408" "paginaFinal" => "415" "serieFecha" => "2001" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contemporary staging and prognosis for primary tracheal maligna a population-based analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "N. Bhattacharyya" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.otohns.2004.05.018" "Revista" => array:7 [ "tituloSerie" => "Otolaryngol Head Neck Surg" "fecha" => "2004" "volumen" => "131" "numero" => "5" "paginaInicial" => "639" "paginaFinal" => "642" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15523440" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchial adenoid cystic carcinoma: a clinicopathologic study – 14 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Albers" 1 => "T. Lawrie" 2 => "J.H. Harrell" 3 => "E.S. Yi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Chest" "fecha" => "2004" "volumen" => "125" "numero" => "3" "paginaInicial" => "1160" "paginaFinal" => "1165" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15006985" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary tracheal tumours" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Gaissert" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Chest Surg Clin N Am" "fecha" => "2003" "volumen" => "13" "numero" => "2" "paginaInicial" => "247" "paginaFinal" => "256" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12755311" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary tracheal tumours: experience with 14 resected patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Schneider" 1 => "J. Schirren" 2 => "T. Muley" 3 => "I. Vigt-Moykopf" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2001" "volumen" => "20" "numero" => "1" "paginaInicial" => "12" "paginaFinal" => "18" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11423267" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "G John Gibson, Duncan M Geddes, Ulrich Costabel, Peter J Sterk, Bryan Corrin. Respiratory Medicine. Third Edition. Vol. two, 1056-63." ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001400000004/v1_201509151547/S0873215915302579/v1_201509151547/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43360" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos Clínicos/Cases Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000004/v1_201509151547/S0873215915302579/v1_201509151547/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302579?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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