A solitary bronchial papilloma with unusual endoscopic presentation: case study and literature review.
BMC Pulm Med
; 9: 40, 2009 Aug 18.
Article
em En
| MEDLINE
| ID: mdl-19689808
ABSTRACT
BACKGROUND:
Solitary 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 PRESENTATION We 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.CONCLUSION:
This 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.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Papiloma
/
Neoplasias Brônquicas
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article