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Abstract
Case Report
A case of a tracheal fibroepithelial polyp in a patient with sarcoidosis
Aya Yodaa Seiko Nakamichia Sumako Yoshiokab Koichiro Kadotaa Keita Inouea Tomoshi Tsuchiyac Fuminao Takeshimad Noriho Sakamotoe Tomayoshi Hayashif Hiroshi Mukaeg Yoshiyuki Ozonoa
aDepartment of General Medicine, Nagasaki University Hospital
bDepartment of Internal Medicine, Nagasaki Municipal Hospital
cDivision of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences
dDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University
eSecond Department of Internal Medicine, Nagasaki University School of Medicine
fDepartment of Pathology, Nagasaki University Hospital
gDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Japan
ABSTRACT
A 29-year-old man was admitted to our hospital because of abnormal shadows on a chest X-ray film taken at an annual medical checkup. A chest radiograph and a CT showed bilateral hilar and mediastinal lymphadenopathy. Laboratory tests showed elevated serum levels of ACE and lysozyme. A histological examination of a skin biopsy specimen from multiple erythema of the lower leg revealed noncaseating epithelioid cell granulomas. A diagnosis of sarcoidosis was made based on these findings. Bronchoscopic evaluation revealed a cauliflower-shaped polyp of the trachea, which was successfully resected by endoscopic high-frequency electrosurgical snaring. A histological examination of the specimen revealed a fibroepithelial polyp. During a 2-year observation without treatment, no recurrence of the polyp has been seen to this date.
KEYWORDS
Sarcoidosis Intratracheal polyp Fibroepithelial polyp Inflammatory polyp
Received 28 Sep 2011 ／ Accepted 13 Jan 2012
AJRS, 1(4): 354-358, 2012
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