Solitary squamous cell papilloma of the trachea

We report a case of solitary squamous cell papilloma of the trachea and review 55 other previously reported cases. A 69-year-old man was admitted to our hospital with hemoptysis. Bronchoscopy demonstrated a papillomatous tumor diagnosed as a squamous cell papilloma. A circumferential resection of the trachea with end-to-end anastomosis was carried out. The patient's postoperative course was uneventful. From the review, there seems to be no considerable difference in the prognoses between the endoscopically and surgically managed groups. The following indications for surgical management of solitary tracheobronchial papilloma are proposed: (1) wide-based tumor, (2) poorly visualized tumor by endoscopy, (3) suspicion of malignant tumor, and (4) patients not suitable for long-term follow-up.