Abstract
Tracheobronchopathia osteochondroplastica is a rare disease. Twenty cases have been reported in Japan and 200 to 300 cases in the world. We reported a case diagnosed by fiberoptic bronchoscopic observation and biopsy. A 74 year-old man presented with a history of hemoptysis and 3 years chronic cough. His chest roentgenogram showed old tuberculosis lesions at the apices of both lungs. A fiberoptic bronchoscopic examination revealed diffuse multiple irregular nodular lesions in the trachea and in main bronchus characteristic of tracheobronchopathia osteochondroplastica. Biopsy of the nodular lesions revealed submucosal cartilage covered with normal bronchial epithelium.