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J Thorac Cardiovasc Surg 2009;137:e17-e19
© 2009 The American Association for Thoracic Surgery

Brief Communication

Successful immediate cryorecanalization of a simultaneous high-grade tracheal and bronchial stenosis as rare manifestations of bronchial-associated lymphoid tissue lymphoma

^a Department of Internal Medicine II, University of Ulm, Ulm, Germany
^c Department of Pathology, University of Ulm, Ulm, Germany
^b Department of Intensive Care Medicine, University Hospital of Berne (Inselspital), Berne, Switzerland

Received for publication January 20, 2008; accepted for publication February 13, 2008.

^_* Address for reprints: Dr med Christian Schumann, Zentrum für Innere Medizin, Abteilung Innere Medizin II, Sektion Pneumologie, Universitätsklinikum Ulm, Robert Koch Strasse 8, D-89081 Ulm, Germany. (Email: christian.schumann@uniklinik-ulm.de).

The first 20% of the full text of this article appears below.

Endobronchial tumor obstruction of central airways causes severe limitations for the patient. For these conditions, an effective and safe bronchoscopic treatment modality is required to ameliorate obstructive symptoms. Most physicians use mechanical debulking by the rigid scope, but neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, argon plasma coagulation, and cryorecanalization are alternative techniques.^1,2 The use of the flexible cryoprobe for immediate ablation of endoluminal tumors in lung cancer has been described earlier.³ This case reports for the first time the successful cryorecanalization of a combined severe tracheal and bronchial stenosis owing to bronchial-associated lymphoid tissue (BALT) lymphoma.

Clinical Summary

A 70-year-old nonsmoking woman had persisting dry cough and exercise-induced dyspnea. Her general practitioner suspected asthma and treated her with inhaled beta-sympathomimetics and corticosteroids. As symptoms failed to improve, treatment was intensified and systemic corticosteroids were given over 4 months. After failure of this therapy, the patient was referred to a pulmonologist for further investigation. Clinical examination revealed a severe biphasic, predominantly inspiratory stridor, suggesting central airway stenosis. Subsequent lung function testing showed a nonreversible severe airway obstruction with markedly decreased . . . [Full Text of this Article]

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