Medical image of the week: right main bronchus obstruction in a young man

Southwest Journal of Pulmonary and Critical Care

关键词: laryngeal papillomatosis;    endobronchial obstruction;    endobronchial mass;    piecemeal excision;    bronchoscopy;    human papilloma virus;    HPV;    squamous papilloma;   

DOI  :  http://dx.doi.org/10.13175/swjpcc107-13

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. The patient is a 22 year old man with long standing history of recurrent laryngeal papillomatosis since childhood. He was referred to the hospital by his ENT surgeon and pulmonology was consulted for evaluation of pneumonia and lung mass. Initial chest x-ray (Figure 1A) demonstrated a white out of the right lung. A CT scan (Figure 1B) obtained showed a pedunculated mass in the right main stem and extensive post obstructive pneumonia. At bronchoscopy, a near total occlusion of the right main stem bronchus was seen with extension in to the trachea (Figure 2). Piecemeal excision of the mass was done using multiple snare passes (Figure 3). The right main stem was subsequently cleared and the distal airway found patent with no endobronchial lesions (Figure 4). The mass continued to obstruct the right upper lobe take off completely. Pathology was consistent with squamous papilloma with dysplasia. Further work up revealed …

【 授权许可】

Unknown