The Annals of Thoracic Surgery, Vol 55, 189-193, Copyright © 1993 by The Society of Thoracic Surgeons
Solitary squamous cell papilloma of the trachea
Y Naka, K Nakao, Y Hamaji, M Nakahara, M Tsujimoto and K Nakahara
Department of Surgery and Pathology, Osaka Police Hospital, Japan.
We report a case of solitary squamous cell papilloma of the trachea and
review 55 other previously reported cases. A 69-year-old man was admitted
to our hospital with hemoptysis. Bronchoscopy demonstrated a papillomatous
tumor diagnosed as a squamous cell papilloma. A circumferential resection
of the trachea with end-to-end anastomosis was carried out. The patient's
postoperative course was uneventful. From the review, there seems to be no
considerable difference in the prognoses between the endoscopically and
surgically managed groups. The following indications for surgical
management of solitary tracheobronchial papilloma are proposed: (1)
wide-based tumor, (2) poorly visualized tumor by endoscopy, (3) suspicion
of malignant tumor, and (4) patients not suitable for long-term follow-up.