Shibuya Hideki, Kutomi Tomoko, Kujime Kosei, Hara Kei, Hisada Tetsuya
Department of Respiratory Medicine, Tokyo Teishin Hospital.
Intern Med. 2008;47(17):1535-8. doi: 10.2169/internalmedicine.47.1239. Epub 2008 Sep 1.
A 72-year-old woman with primary biliary cirrhosis complained of dry cough and wheezing. Chest computed tomography showed a tumor arising from the posterior wall of the trachea. Bronchoscopic examination revealed that the tumor was cauliflower-like, with two small polypoid tumors. They were diagnosed as multiple squamous papillomas. The main tumor was recurrent and removed by repeated microwave coagulation therapy (MCT) through bronchoscopy, whereas the two polypoid tumors were likely to disappear spontaneously. Human papilloma virus (HPV) type 6 DNA was detected in the tumor by polymerase chain reaction (PCR) amplification, suggesting that this virus was the cause of her papillomas.
一名72岁的原发性胆汁性肝硬化女性患者主诉干咳和喘息。胸部计算机断层扫描显示气管后壁有一个肿瘤。支气管镜检查发现肿瘤呈菜花状,伴有两个小的息肉样肿瘤。它们被诊断为多发性鳞状乳头瘤。主要肿瘤复发,通过支气管镜反复进行微波凝固治疗(MCT)将其切除,而两个息肉样肿瘤可能会自行消失。通过聚合酶链反应(PCR)扩增在肿瘤中检测到人乳头瘤病毒(HPV)6型DNA,提示该病毒是其乳头瘤的病因。