Use of cryotherapy to treat obstructing papilloma of an accessory tracheal bronchus: case report

Background Tracheal papillomatosis is a relatively rare condition with limited data on successful treatment modalities. To our knowledge, this is the first report to describe a papilloma arising from an accessory bronchus. Furthermore, this case report demonstrates successful treatment with clinical...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2022-10, Vol.17 (1), p.1-273, Article 273
Main Authors: Adams, Alexandra E, Steiner, Federico A
Format: Article
Language:English
Subjects:
Ablation
Blocking
Bronchoscopy
Bronchoscopy/bronchus
Bronchus
Case Report
Case reports
Congenital diseases
Cryotherapy
Dyspnea
Endoscopy
Health services
Hemoptysis
Homeopathy
Human papillomavirus
Lasers
Literature reviews
Materia medica and therapeutics
Papilloma
Patients
Respiratory tract diseases
Surveillance
Therapeutics
Thoracic surgery
Tracheal
Tumor
Tumors
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Summary:Background Tracheal papillomatosis is a relatively rare condition with limited data on successful treatment modalities. To our knowledge, this is the first report to describe a papilloma arising from an accessory bronchus. Furthermore, this case report demonstrates successful treatment with clinical and patient-centered improvements after use of Spray Cryotherapy. Case presentation A 71-year-old woman presented with one year history of recurrent fevers and intermittent hemoptysis. Imaging and video bronchoscopy revealed an obstructing papilloma of an accessory tracheal bronchus to the right upper lobe. She was treated with debridement followed by multiple cryotherapy treatments resulting in complete clinical and radiographic resolution of her post-obstructive pneumonia. Conclusions This case report not only supports existing literature on the use of cryotherapy for airway diseases but also presents a unique form of obstructing papilloma confined to an accessory bronchus, the only report of its kind based on extensive literature review. Keywords: Bronchoscopy/bronchus, Cryotherapy, Tracheal, Tumor, Case report
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-022-01977-6