[A case of tracheal papilloma]

Area of Science:

• Respiratory Medicine
• Otolaryngology
• Pathology

Background:

• Tracheal tumors are rare and can cause significant respiratory distress.
• Progressive dyspnea over years indicates a chronic and potentially obstructive airway condition.
• Early diagnosis and intervention are crucial for managing tracheal masses.

Observation:

• A 63-year-old male experienced worsening dyspnea and respiratory distress.
• Electronic laryngoscopy revealed a mulberry-like mass obstructing 90% of the tracheal lumen.
• The mass was located 1.5cm from the glottis, near the anterior tracheal wall.

Findings:

• Intratracheal tumor resection under local anesthesia was performed.
• Postoperative pathology confirmed the diagnosis of endotracheal papillomatosis.
• The tumor was covered by ciliated columnar epithelium.

Implications:

• Endotracheal papillomatosis can present as a significant airway obstruction requiring surgical management.
• Successful resection can alleviate respiratory distress and improve patient outcomes.
• This case highlights the importance of thorough diagnostic evaluation for persistent respiratory symptoms.