A solitary bronchial papilloma with unusual endoscopic presentation: case study and literature review
| Autor: | C. Arvin-Berod, Jean Baptiste Noel, Martine Prevot, Marie Frejeville, F. Paganin, Arnaud Bourdin |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Pathology medicine.medical_specialty Biopsy Treatment outcome Case Report Electrocoagulation medicine Bronchial neoplasm Humans lcsh:RC705-779 Squamous papilloma Papilloma medicine.diagnostic_test business.industry Bronchial Neoplasms Endoscopy lcsh:Diseases of the respiratory system medicine.disease Bronchogenic carcinoma Treatment Outcome Presentation (obstetrics) business |
| Zdroj: | BMC Pulmonary Medicine, Vol 9, Iss 1, p 40 (2009) BMC Pulmonary Medicine |
| ISSN: | 1471-2466 |
| DOI: | 10.1186/1471-2466-9-40 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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