Tracheal Lymphoma Presenting with Acute and Progressive Dyspnea

Abstract

Akut havayolu obstruksiyonlarinin en sik nedenleri arasinda enfeksiyonlar, yabanci cisimler, larengeal tumorler ve allerjik reaksiyonlar yer alir. Primer trakeal tumorler oldukca nadir karsilasilan akut havayolu obstruksiyon nedenlerindendir. Trakeanin lenfoma tarafindan tutulumu da nadir gorulur. Bu olgu sunumunda akut ve ilerleyici havayolu obstruksiyonu nedeniyle basvuran 58 yasinda bir kadin hasta bildirilmektedir. Hastada bilgisayarli tomografi tetkiki sonucunda trakeayi tutan bir kitle tespit edilmis, acil trakeotomi acilmis, insizyonel biyopsi alinmis, patolojik inceleme sonucunda mantle hucreli lenfoma tanisi konulmustur. Hastada baska bir bolgede ya da lenf nodunda lenfoma tutulumu saptanmamistir. Hasta, literaturdeki ikinci primer trakeal mantle hucreli lenfoma olgusudur. Anahtar Kelimeler: Mantle-hucreli lenfoma, non-hodgkin lenfoma, trakeal neoplaziler, dispne Tracheal Lymphoma Presenting with Acute and Progressive Dyspnea The most common causes of acute airway obstructions are infections, foreign bodies, laryngeal tumors, and allergic reactions. Primary tracheal tumors are among very rare causes of acute airway obstructions. Tracheal involvement of lymphoma is also not common. In this case report, a 58 year-old woman who presented with acute and progressive airway obstruction was reported. A tracheal mass was detected on computed tomography scan, an emergency tracheostomy was performed, an incisional biopsy was taken, and the histopathological examination revealed a mantle cell variant of primary non- Hodgkin lymphoma of the trachea. Noother involved site or lymph node could be detected. This is the second primary tracheal mantle cell lymphoma case in the literature. Key Words: Mantle-cell lymphoma, Non-Hodgkin’s lymphoma, tracheal neoplasms, dyspnea