Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 3, Issue 3, Pages 183-187
http://dx.doi.org/10.1155/DTE.3.183

Endoscopic Diagnosis and Treatment of a Case of Respiratory Papillomatosis

1Department of Surgery, Tokyo Medical Colleg, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160, Japan
2Department of Pathology, Tokyo Medical Colleg, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160, Japan

Received 8 July 1996; Accepted 27 September 1996

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Respiratory papilloma is a rare lesion that arises in the larynx, trachea and bronchus. We describe a patient with laryngeal papilloma that spread to the trachea and which was effectively treated by Nd-YAG laser. Two years after the initial treatments of the laryngeal and tracheal papillomas, a recurrent lesion (solitary papilloma) was observed on the membranous portion of the trachea. We examined the recurrent lesion by bronchoscopy including bronchoscopic ultrasound (US), helical computed tomography (CT) and tracheal biopsies. Respiratory papillomatosis sometimes shows either malignant transformation or invasion to tracheal wall without displaying cytohistological atypia. Therefore, we concluded that bronchoscopic US and helical CT were useful for deciding on therapeutic strategy in cases of recurrence of tracheal papilloma.