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Tracheobronchopathia Osteochondroplastica: Two Different Facets of a Rare Entity
Margarida Barata1, Ricardo Gomes1, Catarina Moreira1
1Pulmonology Department, Hospital Garcia de Orta, Almada, Portugal.
European Journal of Case Reports in Internal Medicine
|November 16, 2020
Summary
Tracheobronchopathia osteochondroplastica (TBPO) presents variedly, from mild airway issues to severe tracheal obstruction. Bronchial fibroscopy is key for diagnosing this rare benign condition.
Area of Science:
- Pulmonology
- Pathology
Background:
- Tracheobronchopathia osteochondroplastica (TBPO) is a rare benign condition affecting the tracheobronchial tree.
- Characterized by submucosal osseous or cartilaginous nodules, TBPO often presents with non-specific symptoms, leading to potential misdiagnosis.
Purpose of the Study:
- To describe two distinct clinical presentations of Tracheobronchopathia osteochondroplastica.
- To highlight the diagnostic utility of bronchoscopy in identifying TBPO.
Main Methods:
- Case report of two patients with confirmed Tracheobronchopathia osteochondroplastica.
- Clinical presentation, bronchoscopic findings, and histological examination were analyzed.
Main Results:
- Case 1: A 57-year-old woman presented with nocturnal cough and wheezing, showing diffuse mucosal irregularities on bronchoscopy.
- Case 2: A 69-year-old man exhibited progressive dyspnea and cough due to severe tracheal stenosis.
- Histological confirmation of TBPO in both cases.
Conclusions:
- Tracheobronchopathia osteochondroplastica can manifest as diffuse large airway disease or severe tracheal obstruction.
- Direct visualization of lumen protrusions, sparing the posterior tracheal wall, during bronchial fibroscopy is diagnostic for TBPO.
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