Solitary Bronchial Papilloma Research Articles

孤立性気管支扁平上皮乳頭腫の 1 例

孤立性気管支扁平上皮乳頭腫の 1 例

孤立性気管支乳頭腫の 1 切除例 : 症例報告と本邦報告例の集計

孤立性気管支乳頭腫の 1 切除例 : 症例報告と本邦報告例の集計

孤立性気管支乳頭腫の 1 切除例

孤立性気管支乳頭腫の 1 切除例

A Case of Solitary Bronchial Papilloma of Mixed Squamous Cell and Glandular Type Resected Endoscopically Using an Electrosurgical Snare and Diode Laser

背景．気管支の孤立性乳頭腫は比較的稀な上皮性良性腫瘍であるが，その中で扁平上皮腺上皮性混合型乳頭腫は極めて稀で，これまで文献的に自験例を含めて13例の報告しかみられない．孤立性気管支乳頭腫の治療としては，これまで主に外科的切除術が実施されている．症例．84歳，女性．検診の胸部X線写真で右中肺野に異常陰影を指摘され，当院を受診．胸部CT画像では右肺S3に部分的無気肺と右主気管支内腔に突出する腫瘤陰影が認められた．気管支内視鏡検査では，中間幹の内腔にポリープ状の腫瘍が認められ，生検組織で混合型乳頭腫と診断された．腫瘍内における悪性化の合併の有無を検索するために，高周波スネアと半導体レーザーを用いて内視鏡的に腫瘍を切除した．摘出された腫瘍の病理組織学的検査で悪性化はみられず，孤立性気管支乳頭腫（扁平上皮腺上皮性混合型）と診断が確定できた．なお，免疫染色でヒトパピローマウイルスは陰性であった．内視鏡的治療後，2年6ヶ月の現在再発はみられない．結論．内視鏡的治療により切除された孤立性気管支混合型乳頭腫の1例を報告した．高周波スネアと半導体レーザーを用いての内視鏡的治療は，孤立性気管支乳頭腫に対して有用な治療法の1つと思われる．

Solitary Bronchial Papilloma with Malignant Degeneration Presenting with Bronchiectasis and Hemoptysis

Solitary Bronchial Papilloma with Malignant Degeneration Presenting with Bronchiectasis and Hemoptysis

A solitary bronchial papilloma with unusual endoscopic presentation: case study and literature review

BackgroundSolitary endobronchial papillomas (SEP) are rare tumors and most of them are described by case report. A misdiagnosis is common with viral related papillomas. A histopathological classification has recently permitted a major advancement in the understanding of the disease.Case PresentationWe report a case of a mixed bronchial papilloma with an unusual endoscopic presentation. The literature was extensively reviewed to ascertain the unusual characteristics of the current case. A 39-year of age male was referred to our institution for the investigation of a slight hemoptysis. Routine examination was normal. A fibroscopy revealed an unusual feature of the right main bronchus. The lesion was a plane, non-bleeding, non-glistering sub-mucosal proliferation. No enhanced coloration was noticed. Biopsies revealed a mixed solitary bronchial papilloma. In situ HPV hybridization was negative. Endoscopic treatment (electrocautery) was effective with no relapse.ConclusionThis lesion contrasts with the data of the literature where papilloma were described as wart-like lesions or cauliflower tumors, with symptoms generally related to bronchial obstruction. We advise chest physicians to be cautious with unusually small swollen lesions of the bronchi that may reveal a solitary bronchial papilloma. Endoscopic imaging can significantly contribute to the difficult diagnosis of SEP by pulmonary physicians and endoscopists.

A Case of Solitary Bronchial Papilloma Resected Endoscopically Using an Electrosurgical Snare and Coagulation Electrode

A Case of Solitary Bronchial Papilloma Resected Endoscopically Using an Electrosurgical Snare and Coagulation Electrode

菌球型肺アスペルギルス症を併発した孤立性気管支乳頭腫の 1 症例

菌球型肺アスペルギルス症を併発した孤立性気管支乳頭腫の 1 症例

孤立性気管支乳頭腫の 2 例

孤立性気管支乳頭腫の 2 例

Solitary Bronchial Papilloma Presenting with Recurrent Dyspnea Attacks: Case Report with Computed Tomography Findings

A case of solitary bronchial papilloma is reported which, because of its unusual location near the carina and marked mobility, presented with attacks of dyspnea that were misdiagnosed as asthma for many years. It caused no abnormality on a plain chest X-ray, but could be visualized on linear and computed tomograms. The computed tomograms further demonstrated the absence of extraluminal extension of the tumor or mediastinal lymphadenopathy which could not be excluded by linear tomography or bronchoscopy. Transbronchial resection resulted in complete relief of symptoms.

孤立性乳頭腫の 1 例

孤立性乳頭腫の 1 例

SOLITARY PAPILLOMA OF A BRONCHUS.

The cause of asthmatic attacks in a middle-aged man was disclosed and the relief of his symptoms achieved at one and the same time when he coughed up a tumour which proved to be a solitary bronchial papilloma. The pedicle of the tumour had ruptured as the result of infarction due to thrombosis in stromal blood vessels. Asthmatic attacks, stromal blood vessel thrombosis, and the coughing up of the tumour are three features which have not been reported in the few published accounts of this exceedingly rare bronchial tumour.