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Pulmonary Medicine
Volume 2012 (2012), Article ID 352719, 4 pages
http://dx.doi.org/10.1155/2012/352719
Research Article

Outcomes after Bronchoscopic Procedures for Primary Tracheobronchial Amyloidosis: Retrospective Study of 6 Cases

1Thoracic Surgery Department, Victor Segalen Bordeaux 2 University and Haut Lévêque Hospital, CHU de Bordeaux, 33604 Pessac Cedex, France
2Pathology Department, Victor Segalen Bordeaux 2 University and Haut Lévêque Hospital, CHU de Bordeaux, 33604 Pessac Cedex, France

Received 9 September 2012; Revised 9 December 2012; Accepted 10 December 2012

Academic Editor: Leif Bjermer

Copyright © 2012 Ihsan Alloubi et al. 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 amyloidosis is a rare disease which refers to localized aberrant extracellular protein deposits within the airways. Tracheobronchial amyloidosis (TBA) refers to the deposition of localized amyloid deposits within the upper airways. Treatments have historically focused on bronchoscopic techniques including debridement, laser ablation, balloon dilation, and stent placement. We present the outcomes after rigid bronchoscopy to remove the amyloid protein causing the airway obstruction in 6 cases of tracheobronchial amyloidosis. This is the first report of primary diffuse tracheobronchial amyloidosis in our department; clinical features, in addition to therapy in the treatment of TBA, are reviewed. This paper shows that, in patients with TBA causing airway obstruction, excellent results can be obtained with rigid bronchoscopy and stenting of the obstructing lesion.