An Isolated Tracheal Papilloma: A Case Report

A 32-year-old male patient with a history of 10-pack-year smoking and prolonged intubation due to childhood meningitis was admitted with hemoptysis and dyspnea. Thoracic computed tomography showed that a 6x9-mm soft tissue lesion, extending from the tracheal wall of the right tracheal lumen. The rigid bronchoscopy revealed two separate lesions: the first one was a 1-cm granulation tissue located at the anterior tracheal wall at the level of second tracheal ring, and there appeared a 2 to 3-cm grape-like fragile lesion 3-cm below the first lesion. The lesions were resected with electrocautery and Argon plasma coagulation, and treated with balloon dilatation. The histopathological diagnosis was reported as a tracheal papilloma. Clinicians must have a high index of suspicion for tracheal papillomatosis in patients with hemoptysis and obstructive symptoms along with a tracheotomy history.

Ýzole Trakeal Papillom: Olgu sunumu

Öyküsünden on paket/yýl sigara içicisi ve çocukluk çaðýnda geçirdiði menenjit sonrasýnda uzamýþ entübasyona baðlý trakeostomi açýldýðý öðrenilen 32 yaþýnda erkek hasta, hemoptizi ve nefes darlýðý yakýnmasý ile baþvurdu. Toraks bilgisayarlý tomografisinde trakeal duvardan trakeal lümenin sað tarafýna doðru uzanan 6X9 mm çapýnda yumuþak doku izlendi. Rijid bronkoskopisinde iki ayrý lezyon görüldü. Trakea ikinci halka hizasýnda anteriorda 1 cm’lik alanda pasajý %90 daraltan granülasyon dokusu gözlendi. Yaklaþýk 3 cm sonra orta bölüm posteriorda 2-3 cm’lik alanda kanamaya meyilli, üzüm salkýmý þeklinde bir kitle izlendi. Bu lezyondan 3 cm sonraya kadar trakea normal idi. Lezyonlara elektrokoter, argon plazma koagülasyon, rezektör balon dilatasyon ve desobstrüksiyon yapýldý. Patoloji sonucu papillom ile uyumlu olarak geldi. Uzun süre trakeostomi öyküsü olan, hemoptizi ve obstrüktif semptomlarla baþvuran hastalarda trakeal papillomatozisden þüphelenilmelidir.

Image Slices of the Case