Dinçer Ibrahim, Demir Adalet, Akin Hasan, Melek Huseyin, Altin Sedat
Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Istanbul, Turkey.
Ann Thorac Surg. 2005 Dec;80(6):2353-6. doi: 10.1016/j.athoracsur.2004.07.038.
Bronchial inflammatory polyps are defined as tumor-like lesions. They are usually related to chronic inflammatory processes in the adult. Because they may cause complications, they should be surgically removed. A 55-year-old male patient had been followed for recurrent pulmonary infections for 40 years. His main symptoms were orthopnea and hemoptysis upon admission to our hospital. A chest computerized tomography (CT) revealed bronchiectasis located at the right middle lobe and lower lobe and obstruction of the main bronchus at the level of carina. In bronchoscopy a mobile polypoid pinkish lesion protruding to the trachea was observed. We performed an inferior bilobectomy. The pathological examination revealed an endobronchial fibroepithelial polyp. The presence of a giant endobronchial polyp with chronic respiratory symptoms over an extended period of time and the rarity of information pertaining to these lesions in the literature provoked intrigue and constituted a worthy presentation.
支气管炎性息肉被定义为肿瘤样病变。在成人中，它们通常与慢性炎症过程相关。由于它们可能引起并发症，故应手术切除。一名55岁男性患者因反复肺部感染被随访了40年。他入院时的主要症状是端坐呼吸和咯血。胸部计算机断层扫描（CT）显示右中叶和下叶支气管扩张以及隆突水平主支气管阻塞。在支气管镜检查中，观察到一个向气管内突出的可移动的息肉样粉红色病变。我们进行了下叶双肺切除术。病理检查显示为支气管内纤维上皮息肉。一个巨大的支气管内息肉长期存在并伴有慢性呼吸道症状，且文献中关于这些病变的信息稀少，这引发了人们的兴趣，并构成了一个值得展示的病例。
