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Abstract

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Article in Japanese

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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