상기도 폐색을 초래한 기관내 다발성 유두종증 1예

Tracheal Papillomatosis Causing Upper Airway Obstruction

  • 이승룡 (고려대학교 의과대학 내과학교실) ;
  • 김제형 (고려대학교 의과대학 내과학교실) ;
  • 권영환 (고려대학교 의과대학 내과학교실) ;
  • 이소라 (고려대학교 의과대학 내과학교실) ;
  • 이상엽 (고려대학교 의과대학 내과학교실) ;
  • 이신형 (고려대학교 의과대학 내과학교실) ;
  • 서정경 (고려대학교 의과대학 내과학교실) ;
  • 심재정 (고려대학교 의과대학 내과학교실) ;
  • 조재연 (고려대학교 의과대학 내과학교실) ;
  • 인광호 (고려대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실) ;
  • 유세화 (고려대학교 의과대학 내과학교실)
  • Lee, Sung-Yong (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kim, Je-Hyeong (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kwon, Young-Hwan (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, So-Ra (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Sang-Yeub (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Sin-Hyung (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Suh, Jung-Kyung (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Shim, Jae-Jeong (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Cho, Jae-Youn (Department of Internal Medicine, College of Medicine, Korea University) ;
  • In, Kwang-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kang, Kyung-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Yoo, Se-Hwa (Department of Internal Medicine, College of Medicine, Korea University)
  • 발행 : 1998.08.30

초록

기관지 확장제 등의 치료에도 호전되지 않는 운동성 호흡 곤란을 주소로 내원하여 기관지 내시경, 경부 컴퓨터 단층 촬영상 기관 유두종증 진단 받고 2 차례 레이저 치료를 시행받은 후 호흡 곤란 증상과 폐기능 검사 소견이 호전된 기관 유두종증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Tracheal papillomatosis is rare. When the disease starts during childhood, it usually appears to be self-limiting if properly managed. In adults, however, the disease sometimes runs a more protracted course with a higher risk of developing cancer. The tumors are derived from the tracheal surface epithelium and tracheal mucous glands and usually grow exophytically. Treatment has traditionally been with repeated endoscopic resection. However, in view of its viral origin, attempts have been made to control the disease with interferon. A 67 years-old man was presented with exertional dyspnea. He was treated for bronchial asthma at another hospital. There was no improvement in his symptom. He was referred to this hospital, and a bronchoscopic biopsy showed tracheal papillomatosis. He was undergone bronchoscopic laser therapy with symptomatic improvement.

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