A Giant Endobronchial Inflammatory Polyp

Abstract

Bronchial inflammatory polyps are defined as tumor-like lesions. They are usually related to chronic inflammatory processes in the adult. Because they may cause complications, they should be surgically removed. A 55-year-old male patient had been followed for recurrent pulmonary infections for 40 years. His main symptoms were orthopnea and hemoptysis upon admission to our hospital. A chest computerized tomography (CT) revealed bronchiectasis located at the right middle lobe and lower lobe and obstruction of the main bronchus at the level of carina. In bronchoscopy a mobile polypoid pinkish lesion protruding to the trachea was observed. We performed an inferior bilobectomy. The pathological examination revealed an endobronchial fibroepithelial polyp. The presence of a giant endobronchial polyp with chronic respiratory symptoms over an extended period of time and the rarity of information pertaining to these lesions in the literature provoked intrigue and constituted a worthy presentation.

Bronchial Fibroepithelial Polyp: A Case Report and Review of the Literature

“…Multiplanar and 3D imaging of the central airways is often useful for demonstrating polypoid lesions in the trachea or bronchus. Bronchoscopy usually shows 3 to 100 mm mobile and pedunculated polypoid masses protruding from the bronchial wall (nonspecific, mostly seen above the segmental bronchus) (2,3,5,8,11).…”

A Rare Case of a Tracheal Fibroepithelial Polyp Treated by an Endobronchial Resection

“…The reasons why endobronchial intervention was not used was because either endobronchial intervention had not yet been developed (3) or there was diffuse bronchiectasis and fibrosis due to a recurrent infection (4). No optimal therapy has been established due to the rarity of this type of tumor.…”

“…Histopathologically, this polyp is fibroinflammatory and lined with respiratory epithelium with an edematous stroma. As far as we know, only three cases have been previously reported in either the English or the Japanese medical literature (1,3,4). Here (Fig.…”

“…In the case of a bronchial fibroepithelial polyp, several patients underwent a surgical resection (3,4). The reasons why endobronchial intervention was not used was because either endobronchial intervention had not yet been developed (3) or there was diffuse bronchiectasis and fibrosis due to a recurrent infection (4).…”

Bronchial Fibroepithelial Polyp: A Rare and Challenging Diagnosis

“…According to these case reports, it manifests as an endobronchial polypoid nodule that is covered with normal respiratory mucosa, consisting of fibrovascular stroma with or without few inflammatory cells and adipocytic components [6] [7].…”