A case of solitary bronchial papilloma showing finger-in-glove sign
Eriko Kuwasakia Mitsuaki Sekiyaa Yuzo Kodamaa Kenji Suzukib Toshimasa Uekusac Kazuhisa Takahashia
aDepartment of Respiratory Medicine, Internal Medicine, Faculty of Medicine, Juntendo University
bDepartment of General Thoracic Surgery, Faculty of Medicine, Juntendo University
cDepartment of Diagnostic Pathology, Kanto-Rosai Hospital
The patient was a 63-year-old man referred to our hospital because of a right hilar mass lesion on chest radiograph in September 2012. Thoracic CT showed a nodular lesion at right S3 and a peripheral branching shadow, which was suspected of being a mucoid impaction (so-called finger-in-glove sign). Bronchoscopic findings revealed a polypoid tumor at the orifice of a right B3. We diagnosed as bronchial papilloma with transbronchial biopsy, and a right upper lobectomy was performed. A definitive diagnosis of a solitary bronchial columnar papilloma was made with a detailed histological examination. Although a solitary bronchial papilloma is very rare, it is necessary to consider this disease as one of differential diagnoses showing finger-in-glove sign.
Bronchial papilloma Mucoid impaction
Received 28 Oct 2015 / Accepted 1 Feb 2016
AJRS, 5(3): 116-120, 2016