Naka Y, Nakao K, Hamaji Y, Nakahara M, Tsujimoto M, Nakahara K
Department of Surgery and Pathology, Osaka Police Hospital, Japan.
Ann Thorac Surg. 1993 Jan;55(1):189-93. doi: 10.1016/0003-4975(93)90508-f.
We report a case of solitary squamous cell papilloma of the trachea and review 55 other previously reported cases. A 69-year-old man was admitted to our hospital with hemoptysis. Bronchoscopy demonstrated a papillomatous tumor diagnosed as a squamous cell papilloma. A circumferential resection of the trachea with end-to-end anastomosis was carried out. The patient's postoperative course was uneventful. From the review, there seems to be no considerable difference in the prognoses between the endoscopically and surgically managed groups. The following indications for surgical management of solitary tracheobronchial papilloma are proposed: (1) wide-based tumor, (2) poorly visualized tumor by endoscopy, (3) suspicion of malignant tumor, and (4) patients not suitable for long-term follow-up.
我们报告一例气管孤立性鳞状细胞乳头状瘤病例，并回顾其他55例先前报道的病例。一名69岁男性因咯血入院。支气管镜检查发现一个乳头状瘤，诊断为鳞状细胞乳头状瘤。实施了气管环形切除并端端吻合术。患者术后恢复顺利。通过回顾发现，内镜治疗组和手术治疗组的预后似乎没有显著差异。提出了以下孤立性气管支气管乳头状瘤手术治疗的指征：（1）基底较宽的肿瘤；（2）内镜下观察不清的肿瘤；（3）怀疑为恶性肿瘤；（4）不适合长期随访的患者。
