The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Case Reports
A Case of Solitary Bronchial Glandular Papilloma Resected by Bronchoscopy Using a High-frequency Electrosurgical Snare
Ryo NonomuraToshiharu TabataYutaka OshimaTakanobu SasakiHideki MitomoNaoya IshibashiTakafumi SugawaraMotoyasu SagawaTakashi Kondo
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2020 Volume 42 Issue 3 Pages 260-263

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Abstract

Background. Solitary bronchial glandular papilloma is a rare disease. In the 20-year period from 2000 through 2019, only four cases were reported in the literature. Therefore, no consensus regarding the treatment of the disease has been reached. Case. A 61-year-old woman presented with a persistent cough and wheezing that had lasted for five years. She was referred to our hospital because an abnormal shadow had been found during a medical examination in January 200X-1, and chest computed tomography showed a tumor located in the left main bronchus. Bronchoscopy demonstrated a polypoid tumor that obstructed the left main bronchial lumen by 90%; however, the peripheral bronchus in the area demonstrating stenosis observed with a microbronchoscope appeared to be normal. The pathological diagnosis was bronchial glandular papilloma. During follow-up, an increase was noted in size, but no association with human papillomavirus infection was noted, and there was no potential predisposition toward malignancy. Therefore, bronchoscopic tumor resection was conducted with a high-frequency electrosurgical snare and argon plasma coagulation. In the following two months, there was no evidence of tumor recurrence or symptoms. Conclusion. We experienced a case of solitary bronchial glandular papilloma wherein the tumor was able to be resected safely using a high-frequency snare under bronchoscopy.

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© 2020 The Japan Society for Respiratory Endoscopy
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