关键词: airway lesion fibroepithelial polyp long-term cough

Mesh : Humans Asthma / diagnosis Diagnostic Errors Polyps / pathology diagnosis Bronchoscopy Bronchial Neoplasms / diagnosis pathology diagnostic imaging surgery Male Tomography, X-Ray Computed Middle Aged Cough / etiology Female Neoplasms, Fibroepithelial / pathology diagnosis surgery Bronchi / pathology

来  源:   DOI:10.1177/23247096241248981   PDF(Pubmed)

Abstract:
Bronchial fibroepithelial polyps are exceedingly rare with few cases have been reported. They can manifest with a wide array of symptoms; ranging from being totally asymptomatic, cough, refractory dyspnea, and hemoptysis. In our case, our patient\'s condition was diagnosed and was managed as asthma. It is one of the rare benign conditions to be encountered, shares similar morphology with other tumors such as angiomyofibroblastoma, aggressive angiomyxoma, and cellular angiofibroma. These lesions have a slow growth pattern which may end up with obstruction. According to the tumor size and symptoms caused by it, treatment varies from observation to complete resection. This case describes an incidental finding of fibroepithelial polyp in the main bronchus for a patient with long-term refractory cough for 5 years, was misdiagnosed to have asthma. Diagnosis typically involves imaging and bronchoscopy, followed by appropriate therapeutic measures and careful monitoring to assess the prognosis.
摘要:
支气管纤维上皮息肉极为罕见,报道很少。它们可以表现出各种各样的症状;从完全无症状,咳嗽,难治性呼吸困难,还有咯血.在我们的案例中,我们的病人的病情被诊断和治疗为哮喘。这是罕见的良性疾病之一,与其他肿瘤,如血管肌纤维母细胞瘤,侵袭性血管粘液瘤,和细胞性血管纤维瘤.这些病变具有缓慢的生长模式,最终可能会阻塞。根据肿瘤大小和由其引起的症状,治疗从观察到完全切除。该病例描述了长期难治性咳嗽5年的患者在主支气管中偶然发现纤维上皮息肉。被误诊为哮喘.诊断通常涉及成像和支气管镜检查,随后采取适当的治疗措施并仔细监测以评估预后。
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