Department of Surgery, Morristown Medical Center, 100 Madison Ave, Morristown, NJ, 07960, USA.
Division of Cardiothoracic Surgery, Morristown Medical Center, 100 Madison Ave, Morristown, NJ, 07960, USA.
J Cardiothorac Surg. 2022 Oct 22;17(1):273. doi: 10.1186/s13019-022-01977-6.
Tracheal papillomatosis is a relatively rare condition with limited data on successful treatment modalities. To our knowledge, this is the first report to describe a papilloma arising from an accessory bronchus. Furthermore, this case report demonstrates successful treatment with clinical and patient-centered improvements after use of Spray Cryotherapy.
A 71-year-old woman presented with one year history of recurrent fevers and intermittent hemoptysis. Imaging and video bronchoscopy revealed an obstructing papilloma of an accessory tracheal bronchus to the right upper lobe. She was treated with debridement followed by multiple cryotherapy treatments resulting in complete clinical and radiographic resolution of her post-obstructive pneumonia.
This case report not only supports existing literature on the use of cryotherapy for airway diseases but also presents a unique form of obstructing papilloma confined to an accessory bronchus, the only report of its kind based on extensive literature review.
气管乳头瘤病是一种相对罕见的疾病，关于成功治疗方式的数据有限。据我们所知，这是首例描述起源于副支气管的乳头瘤的报告。此外，本病例报告显示，使用喷雾冷冻疗法后，在临床和以患者为中心的方面都有了显著改善。
一名 71 岁女性因反复发热和间歇性咯血一年就诊。影像学和视频支气管镜检查显示右上叶一个辅助性气管支气管阻塞性乳头瘤。她接受了清创术，随后进行了多次冷冻治疗，导致阻塞性肺炎完全临床和放射学缓解。
本病例报告不仅支持了冷冻疗法在气道疾病中的应用的现有文献，还提出了一种独特形式的阻塞性乳头瘤，局限于副支气管，这是基于广泛文献回顾的唯一此类报告。
