伪装成哮喘的原发性气管乳头状瘤：一例报告。
Primary tracheal papilloma disguised as asthma: A case report.
作者信息
Chen Yan-Bin, Jiang Jun-Hong, Guo Ling-Chuan, Huang Jian-An
机构信息
a Department of Respiratory Medicine , the First Affiliated Hospital of Soochow University , Suzhou , China.
b Department of Pathology , the First Affiliated Hospital of Soochow University , Suzhou , China.
出版信息
J Asthma. 2016 Dec;53(10):1090-3. doi: 10.3109/02770903.2016.1171872. Epub 2016 May 4.
INTRODUCTION
Tracheal papilloma presenting as asthma is a rare occurrence.
CASE STUDY
We report a case of a 32-year-old male patient who presented with features of asthma. Flexible bronchoscopy demonstrated a large growth arising from the lower end of the trachea. Successful treatment using snare loop and argon plasma coagulation (APC) of the polyploidal growth was performed via flexible bronchoscope.
RESULTS
The patient had immediate relief of airway obstruction and histopathological examination of the neoplasm demonstrated features of papilloma.
CONCLUSION
Primary tracheal papilloma is mimicker of asthma, CT scan should be considered in patients with persistent chronic cough, or stridor. Endoscopic papillectomy is a safe and effective treatment and should be considered as first-line therapy for tracheal papilloma.
引言
表现为哮喘的气管乳头状瘤极为罕见。
病例研究
我们报告一例32岁男性患者，其表现出哮喘症状。可弯曲支气管镜检查显示气管下端有一大块肿物。通过可弯曲支气管镜使用圈套器和氩等离子体凝固术（APC）成功治疗了该息肉样肿物。
结果
患者气道梗阻立即缓解，肿瘤的组织病理学检查显示乳头状瘤特征。
结论
原发性气管乳头状瘤可酷似哮喘，对于持续慢性咳嗽或喘鸣患者应考虑进行CT扫描。内镜下乳头切除术是一种安全有效的治疗方法，应被视为气管乳头状瘤的一线治疗方法。
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