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Abstract

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Article in Japanese

Case Report

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

ABSTRACT

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.

KEYWORDS

Bronchial papilloma  Mucoid impaction 

Received 28 Oct 2015 / Accepted 1 Feb 2016

AJRS, 5(3): 116-120, 2016

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