A Case of Tracheal Papillomas Treated With Bronchofibroscopic Nd-YAG Laser Therapy.

Yoo, Jeong Soo; Yoon, Soo Mi; Kim, Mi Oak; Sohn, Jang Won; Yang, Seok Chul; Yoon, Ho Joo; Shin, Dong Ho; Park, Sung Soo; Jung, Won Sang

doi:1999.47.6.857

Tuberc Respir Dis > Volume 47(6); 1999 > Article

Case Report

Tuberculosis and Respiratory Diseases 1999;47(6):857-862.
DOI: https://doi.org/10.4046/trd.1999.47.6.857 Published online December 1, 1999.

A Case of Tracheal Papillomas Treated With Bronchofibroscopic Nd-YAG Laser Therapy.

Jeong Soo Yoo, Soo Mi Yoon, Mi Oak Kim, Jang Won Sohn, Seok Chul Yang, Ho Joo Yoon, Dong Ho Shin, Sung Soo Park, Won Sang Jung

¹Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.
²Department of Thoracic Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

In contrast to juvenile laryngeal papillomatosis, which occurs most often in children and teenagers and is usually self limited, soliatry papilomas in adults are one of uncommon tumors of airway, and have a higher incidence of cancer. They are caused by the respiratory infection of human papilloma virus(HPV). They culd spread to more distal airways and have a tendency of recurrence after limited surgical excision. Recently endoscopic therapies such as Nd-YAG laser, electrocautery, and cryotherapy provide extremely effective treatment modalities. We report a case of solitary tracheal papillomas in a 48 year-old man who presented with cough, scanty hemoptysis, and functional evidence of central airway obstruction. He was successfully treated by a Nd-TAG laser therapy via fiberoptic bronchoscopy under the local anesthesia.

Key Words: Nd-YAG Laser, tracheal papillomas, fiberoptic bronchoscopy