Archive for the 'AIDS' Category

06 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS: DISCUSSION (3)

Endoscopy represents the remaining alternative for local airway control. Rigid bronchoscopy to resect or ‘core-out’ the tumour with or without Nd:YAG assistance to control any bleeding is an excellent option for obstructing endobronchial tumours. However, because our centre has developed considerable experience using the laser via flexible bronchoscopy for palliate obstructing tumours of the tracheal-bronchial […]

05 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS: DISCUSSION (2)

Chemotherapy and/or radiotherapy are the primary treatment modalities of NHL. However, in the present case, neither therapy was appropriate at the time of diagnosis. Chemotherapy was initially rejected because the patient’s high viral load and low CD4+ count created greater potential for an opportunistic infection and a higher risk for death. Moreover, a CD4+ count […]

04 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS: DISCUSSION (1)

Primary non-Hodgkin’s lymphoma (NHL) is an uncommon malignancy of the trachea. There have been 14 cases reported in the English language literature. Most reports of NHL involving the airway are secondary to mediastinal nodal disease and three of these cases were associated with HIV/AIDS. Patients with HIV/AIDS develop NHL 20 times more frequently than normal […]

03 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS (3)

A computed tomography scan confirmed the presence of a focal soft tissue thickening of the posterior and left lateral wall of the mid-intrathoracic trachea (Figure 3). No other sites of malignancy and/or lymphadenopathy were identified. buy prednisone

02 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS (2)

Her past medical history was significant for a 23-pack-year history of smoking and numerous respiratory illnesses. Eight months before, she had undergone bronchoscopy and had no abnormalities identified. She had been HIV-positive for eight years and had been noncompliant with antiretroviral medications for 18 months.

01 Dec

Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS (1)

Airway obstruction is a potential complication of tracheobronchial tumours. Patients often present with symptoms suggestive of asthma and the tumour is missed on initial evaluation. The failure of initial therapy to resolve the symptoms eventually leads to bronchoscopic examination, which reveals the tumour and leads to definitive therapy. Patients rarely present with respiratory failure or […]

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