Tracheomediastinal Fistula Caused by Non-Hodgkin's Lymphoma

Non-Hodgkin's lymphoma involving the tracheobronchial tree is uncommon. A 60-year-old man presented with severe cough for two months. Bronchoscopy disclosed an ulcerative lesion at the lower trachea and carina with anterior tracheomediastinal fistula, and biopsy revealed tracheal wall B-cell ly...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(Supplement), pp.599-601
Main Authors: Huang, Chang-Lun, Chen, Heng-Chung, Huang, Hung-Che, Cheng, Ching-Yuan
Format: Article
Language:English
Subjects:
Biopsy
Bronchoscopy
Chemoradiotherapy
fistula
Humans
Immunohistochemistry
Lymphoma, B-Cell - complications
Lymphoma, B-Cell - diagnosis
Lymphoma, B-Cell - therapy
Male
Mediastinal Diseases - diagnosis
Mediastinal Diseases - etiology
mediastinum
Middle Aged
Respiratory Tract Fistula - diagnosis
Respiratory Tract Fistula - etiology
Stents
Time Factors
Tomography, X-Ray Computed
Tracheal Diseases - diagnosis
Tracheal Diseases - etiology
tracheal stenosis
Tracheal Stenosis - etiology
Tracheal Stenosis - therapy
tracheal tumor
Treatment Outcome
Wound Healing
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Summary:Non-Hodgkin's lymphoma involving the tracheobronchial tree is uncommon. A 60-year-old man presented with severe cough for two months. Bronchoscopy disclosed an ulcerative lesion at the lower trachea and carina with anterior tracheomediastinal fistula, and biopsy revealed tracheal wall B-cell lymphoma. After chemo-radiotherapy, the tracheomediastinal fistula healed, but eight months later, tracheal stenosis was diagnosed by bronchoscopy. A self-expansible metallic stent was placed, which successfully maintained the airway.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.12.02230