Wu Chien-Wei, Chen Ann, Huang Tsai-Wang
Department of Surgery, Tri-Service General Hospital, Taipei 114, Taiwan.
Department of Pathology, Tri-Service General Hospital, Taipei 114, Taiwan.
World J Clin Cases. 2020 Mar 26;8(6):1104-1107. doi: 10.12998/wjcc.v8.i6.1104.
Solitary respiratory papilloma is a rare epithelial tumor that can be categorized into multiple subtypes depending on tumor location, histological presentation and number. The glandular type is the rarest, with only 30 cases available within the field. Hence, information on its identification and treatment is limited. In this report, we discuss the diagnostic strategy and management of glandular papilloma, along with a review of the literature.
We describe a male 44-year-old nonsmoker who presented with a persistent cough and recurrent pneumonia, which he had experienced for over 2 years. A solitary pulmonary nodule with an endobronchial lesion was found computed tomography of the chest. After a biopsy was obtained, no definite diagnosis could be made. Glandular papilloma of the lung was confirmed video-assisted thoracoscopic anatomic resection of the right lower lobe of the lung. The patient remained disease-free after 6 mo follow up.
Minimally invasive surgery is feasible for the surgical resection of endobronchial glandular papilloma. Although rare, glandular papilloma should be considered in patients with infection or endobronchial lesions.
孤立性呼吸道乳头状瘤是一种罕见的上皮性肿瘤，可根据肿瘤位置、组织学表现和数量分为多种亚型。腺型是最罕见的，该领域仅有30例病例。因此，关于其识别和治疗的信息有限。在本报告中，我们讨论腺型乳头状瘤的诊断策略和管理，并对文献进行综述。
我们描述了一名44岁不吸烟男性，他出现持续咳嗽和反复肺炎，症状持续超过2年。胸部计算机断层扫描发现一个伴有支气管内病变的孤立性肺结节。活检后未能做出明确诊断。通过电视辅助胸腔镜对右下肺叶进行解剖切除，确诊为肺腺型乳头状瘤。随访6个月后，患者无疾病复发。
微创手术对于支气管内腺型乳头状瘤的手术切除是可行的。尽管罕见，但对于有感染或支气管内病变的患者应考虑腺型乳头状瘤的可能。
