- 期刊
Solitary Squamous Papilloma of Trachea-A Case Report
氣管內單一扁平上皮乳突瘤：病例報告
摘要
扁平上皮乳突瘤在口腔咽喉黏膜中是很常見的良性病變，可能與人類乳突病毒（HPV）第6和11型有關聯。但此類病變在氣管或支氣管內相當罕見，特別是單一腫瘤型態的病灶。在此，我們報告了一位39歲有喉部乳突瘤病史之男性病患合併有氣管內單一扁平上皮乳突瘤。此氣管內腫瘤在外型上是具莖狀的，約0.9公分大且合併有氣道之阻塞。病患在局部麻醉沒有接受氣管插管的情況接接受銣雅鉻雷射（Nd-YAG laser）腫瘤切除術。在查閱了文獻後我們發現這一個相當罕見的病例，因為此病患之氣管內扁平上皮乳突瘤是以單一的型態存在；且此病患是在局部麻醉沒有插管的情形下接受軟式支氣管鏡銣雅鉻雷射腫瘤切除術。在查閱了一些文獻後，我們探討了氣管內乳突瘤之臨床表現及其治療方式。
並列摘要
Squamous papilloma is a benign lesion commonly found on orolaryngeal mucosa and may be associated with HPV type 6 and 11, but is seldom described as a tracheobronchial tumor especially the solitary form. We presented a 39-year-old man with history of laryngeal papillomatosis who suffered from solitary endotracheal squamous papilloma. The endotracheal lesion was pedunculated and about 0.9 cm in size, and resulted in obstruction of the airway. He underwent flexible bronchoscopic Nd-YAG laser ablation under local anesthesia without intubation. This was a rare case based on a literature review since it was a solitary form of endotracheal tumor that underwent bronchoscopic laser ablation without intubation. The clinical manifestations and treatment of these tracheobronchial papillomas are reviewed.
延伸閱讀
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