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Titolo:
A solitary bronchial papilloma with malignant changes
Autore:
Inoue, Y; Oka, M; Ishii, H; Kimino, K; Kishikawa, M; Ito, M; Ito, T; Nakashima, M; Kohno, S;
Indirizzi:
Isahaya Insurance Gen Hosp, Dept Internal Med, Nagasaki 8548501, Japan Isahaya Insurance Gen Hosp Nagasaki Japan 8548501 agasaki 8548501, Japan
Titolo Testata:
INTERNAL MEDICINE
fascicolo: 1, volume: 40, anno: 2001,
pagine: 56 - 60
SICI:
0918-2918(200101)40:1<56:ASBPWM>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Keywords:
lung cancer; endobronchial polyp; electrosurgical snare;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Inoue, Y Isahaya Insurance Gen Hosp, Dept Internal Med, 24-1 Eishohigashi Machi, Nagasaki 8548501, Japan Isahaya Insurance Gen Hosp 24-1 EishohigashiMachi Nagasaki Japan 8548501
Citazione:
Y. Inoue et al., "A solitary bronchial papilloma with malignant changes", INTERN MED, 40(1), 2001, pp. 56-60

Abstract

We describe a case of solitary papilloma of the bronchus and provide a review of 38 similar cases reported in Japan. A 70-year-old man complained of cough and sputum, Chest X-rays and CT scans revealed atelectasis of the right middle lobe, On bronchoscopy, a polypoid tumor was found at the orifice of the bronchus of the right middle lobe, The tumor was histologically diagnosed as a squamous papilloma with moderate atypia, Because of elevated tumor markers and the reported high incidence of malignant changes in papillomas, the tumor was endoscopically resected by electrosurgical snare. While this procedure resulted in improvement of atelectasis, the chest CT taken subsequently revealed a mass adjacent to the resected polypoid tumor in the middle lobe bronchus, Percutaneous needle biopsy followed by histopathological examination confirmed the tumor to be a squamous cell carcinoma. Only three cases of malignant changes in papillomas have been previously reported in Japan. Electrosurgical snare, which allows the identification of tissue at the tumor base, should be the treatment of choice rather than YAG laser surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 04:39:10