Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Rigid Bronchoscopic Treatment for an Adult Case of Multiple Squamous Papillomatosis in the Trachea

성인에서 발생한 다발성 기관 유두종증에 대한 경직성 기관지경을 이용한 치험 1 예

  • Jung, Bock-Hyun (Department of pulmonology and critical care medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lim, Jae-Min (Department of pulmonology and critical care medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Mi-Hye (Department of pulmonology and critical care medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 정복현 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 임재민 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 김미혜 (울산대학교 의과대학 강릉아산병원 내과학교실)
  • Published : 2009.12.30
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Abstract

A 57 year old human immune virus(HIV)-positive male presented with a progressive dyspnea for 6 months. Chest CT showed multiple polypoid masses arising from upper tracheal wall. Bronchoscopic examination revealed that multiple large cauliflower-like polypoid tumors was obstructing tracheal lumen. They were diagnosed as multiple squamous papillomas and were removed by Nd:YAG laser photocoagulation and rigid bronchoscopic treatment. The tumors were histologically diagnosed as squamous papilloma infected with human papilloma virus(HPV) type 6 and 11 in in-situ hybridization. Rigid bronchoscopy might be safer and more efficient than flexible bronchoscopy for the treatment of multiple tracheal papillomatosis obstructing tracheal lumen because of easy establishment of airway patency and direct use of rigid bronchoscope itself for tumor resection.

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