Endobronşiyal Soliter Papillom: Olgu Sunumu

Yıl 2017, Cilt: 3 Sayı: 1, 57 - 58, 01.01.2017

Hatice Uluçoban Dede Ömer Özbudak İrem Hicran Özbudak

Öz

Soliter pulmoner papillomlar genellikle bronşiyal yüzey epitelinden köken alan ve endobronşial tümör oluşturan nadir neoplazilerdir. Soliter pulmoner papillomlar histolojik olarak skuamoz hücreli papillom, glandüler papillom ve miks papillom olmak üzere üç alt tipe ayrılır. Soliter pulmoner papillomların alt tiplerinden olan glandüler papillom çok nadir görülen benign bir tümördür. 73 yaşındaki erkek hasta 6 aydır devam eden hemoptizi yakınması ile polikliniğe başvurdu. Fiberoptik bronkoskopisinde, sağ alt lob superior segment girişinde pembe renkli, lobüle, yaklaşık 0,5 cm çapında bir lezyon görüldü. Lezyon forceps biyopsi ile tamamen rezeke edildi. Biyopsi materyallerinin patolojik incelemesi sonucu endobronşial glandüler papillom tanısı konuldu. Hasta periyodik izleme alındı. Endobronşial soliter papillom, bronşun oldukça nadir görülen benign bir tümörüdür. Ancak, özellikle sigara içenlerde malignite gelişebileceği unutulmamalı ve yakın takibi yapılmalıdır

Anahtar Kelimeler

Akciğer kanseri, Endobronşial papillom, Glandüler papillom, Bronkoskopik rezeksiyon

Solitary Endobronchial Papilloma: Case Report

Öz

Solitary pulmonary papilloma is a rare neoplasm that is usually derived from bronchial surface epithelium and forms an endobronchial tumor. Solitary pulmonary papillomas are subclassified into three categories according to histological type: squamous cell papilloma, glandular papilloma, and mixed squamous cell and glandular papilloma mixed papilloma . Of these, glandular papilloma of the peripheral lung is uncommon.A 73-year-old male patient presented to the outpatient clinic complaining of haemoptysis for the last six months. Fiberoptic bronchoscopy revealed a lobulated, pink lesion approximately 0.5 cm in diameter at the entrance of the right lower lobe superior segment. The lesion was removed by forceps biopsy resection. The pathological inspection of this lesion resulted in a diagnosis of endobronchial glandular papilloma. We decided to monitor him periodically. Endobronchial solitary papilloma is a rare benign tumor of the bronchus but we must be careful in smokers since this benign lesion may become malignant

Anahtar Kelimeler

Lung cancer, Endobronchial papilloma, Glandular papilloma, Bronchoscopic resection

Kaynakça

• Kawaguchi T, Matumura A, Iuchi K, Yamamoto S, Inoue Y, Sunami T, Naka N, Okishio K, Ueno K, Atagi S, Ogawara M, Hosoe S, Kawahara M. Solitary squamous papilloma of the bronchus associated with human papilloma virus type 11. Internal Medicine 1999;38:817-9.
• Drennan JM, Douglas AC. Solitary papilloma of a bronchus. J Clinical Pathology 1965;18:401-2.
• Nakagawa M, Hara M, Shibamoto Y, Yano M, Takahashi S. CT findings of bronchial glandular papilloma. J Thorac Imaging 2008;23:210-2.
• Kato H, Konaka C, Kawate N, Nishimiya K, Saito M, Kinoshita K, Sakai H, Okitsu H, Kawaguchi M, Aizawa K, Laser endoscopy with photodynamic therapy in the respiratory tract. Gann Monograph on Cancer Research 1990;37:139-52.
• Oho K, Ogawa I, Amemiya R, Ohtani T, Yamada R, Taira O, Hayata Y. Indication for endoscopic Nd-YAG laser surgery in the trachea and bronchus. Endoscopy 1983;15:302-6.
• Katial RK, Ranlett R, Whitlock WL. Human papilloma virus associated with solitary squamous papilloma complicated by bronchiectasis and bronchial stenosis. Chest 1994;106:1887-9.
• Inoue Y, Oka M, Ishii H, Kimino K, Kishikawa M, Ito M, Ito T, Nakashima M, Kohno S. A solitary bronchial papilloma with malignant changes. Internal Medicine 2001; 40: 56-60.