Zusammenfassung
Primäre Trachealtumore sind selten und verursachen meist erst dann Beschwerden, wenn
der Tumor den größten Anteil des Tracheallumens okkludiert hat. Wir berichten über
eine 45-jährige Patientin mit pulmonaler Tuberkulose und einem Tumor in der Trachea,
der als Einbruch eines tuberkulösen Lymphknotens in die Trachea gedeutet worden war.
Eine erneute Bronchoskopie zeigte eine weißliche, glänzende, blumenkohlartige Raumforderung
in der ventralen Trachealwand, die durch die histologische Untersuchung als gutartiger
Granularzelltumor eingestuft wurde. Nach der kulturellen Konversion der Tuberkulose,
die erst zur Entdeckung des Trachealtumors geführt hatte, wurde der Granularzelltumor
vollständig chirurgisch entfernt. Granularzelltumore kommen in der Trachea sehr selten
vor, können multifokal vorkommen und maligne entarten. Die komplette Resektion ist
die Therapie der Wahl und Rezidive sind selten.
Abstract
Primary tracheal tumours are rare and often only cause symptoms at a late stage, when
the tumour obstructs most of the tracheal lumen. We report the case of a 45-year-old
woman with pulmonary tuberculosis and a tumour in the trachea, which had been interpreted
as a tuberculous lymph node perforating the tracheal wall. Bronchoscopy revealed a
white, glossy, papillomatous lesion in the ventral wall of the trachea, which was
identified by histology as a granular cell tumour. After culture conversion of the
underlying tuberculosis, which led to the detection of the lesion, the tumour was
surgically removed. Granular cell tumours rarely appear in the trachea, they may be
multifocal and sometimes follow a malignant course. Complete resection is the treatment
of choice and recurrence rates are low.
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PD Dr. Susanne M. Lang
Karl-Hansen-Klinik
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33175 Bad Lippspringe
Email: lang_susanne@hotmail.com
