Tuberculosis and Respiratory Diseases

  • 제47권6호
  • /
  • Pages.857-862
  • /
  • 1999
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

기관지 내시경하 Nd-YAG Laser소각으로 치료 성공한 기관내 유두종

A Case of Tracheal Papillomas Treated With Bronchofibroscopic Nd-YAG Laser Therapy

  • 유정수 (한양대학교 의과대학 내과학교실) ;
  • 윤수미 (한양대학교 의과대학 내과학교실) ;
  • 김미옥 (한양대학교 의과대학 내과학교실) ;
  • 손장원 (한양대학교 의과대학 내과학교실) ;
  • 양석철 (한양대학교 의과대학 내과학교실) ;
  • 윤호주 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 정원상 (한양대학교 의과대학 흉부외과학 교실)
  • Yoo, Jeong-Soo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Yoon, Soo-Mi (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Kim, Mi-Oak (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Sohn, Jang-Won (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Yang, Seok-Chul (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Yoon, Ho-Joo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Shin, Dong-Ho (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Park, Sung-Soo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Jung, Won-Sang (Department of Thoracic Surgery, College of Medicine, Hanyang University)
  • 발행 : 1999.12.30
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초록

저자들은 기침, 객혈, 호흡곤란을 호소하는 48세 남자에서 기관 유두종으로 진단 후 부분마취하에 굴곡성 기관지 내시경을 이용하여 Nd-YAG 레이저 치료로써 치료한 후 약 3년동안의 추적 관찰에서 더 이상의 재발이 없어 문헌고찰과 함께 보고하는 바이다.

In contrast to juvenile laryngeal papillomatosis, which occurs most often in children and teenagers and is usually self limited, soliatry papillomas in adults are one of uncommon tumors of airway, and have a higher incidence of cancer. They are caused by the respiratory infection of human papilloma virus(HPV). They could spread to more distal airways and have a tendency of recurrence after limited surgical excision. Recently endoscopic therapies such as Nd-YAG laser, electrocautery, and cryotherapy provide extremely effective treatment modalities. We report a case of solitary tracheal papillomas in a 48 year-old man who presented with cough, scanty hemoptysis, and functional evidence of central airway obstruction. He was successfully treated by a Nd-YAG laser therapy via fiberoptic bronchoscopy under the local anesthesia.

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