Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2020; 8(6): 1104-1107
Published online Mar 26, 2020. doi: 10.12998/wjcc.v8.i6.1104
Diagnosis and management of glandular papilloma of lung: A case report
Chien-Wei Wu, Ann Chen, Tsai-Wang Huang
Chien-Wei Wu, Department of Surgery, Tri-Service General Hospital, Taipei 114, Taiwan
Ann Chen, Department of Pathology, Tri-Service General Hospital, Taipei 114, Taiwan
Tsai-Wang Huang, Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, Taipei 114, Taiwan
Author contributions: Wu CW is the first author of the above case report. Wu CW wrote the case report and completed the literature review; Chen A is an attending pathologist; Huang TW is an attending surgeon; Huang TW performed the final editing and preparation of the paper for approval; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and the accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Tsai-Wang Huang, MD, PhD, Chief Doctor, Surgeon, Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, 325 Section 2 Cheng-Kung Road, Taipei 114, Taiwan. chi-wang@yahoo.com.tw
Received: December 18, 2019
Peer-review started: December 18, 2019
First decision: January 13, 2020
Revised: March 4, 2020
Accepted: March 9, 2020
Article in press: March 9, 2020
Published online: March 26, 2020
Abstract
BACKGROUND

Solitary respiratory papilloma is a rare epithelial tumor that can be categorized into multiple subtypes depending on tumor location, histological presentation and number. The glandular type is the rarest, with only 30 cases available within the field. Hence, information on its identification and treatment is limited. In this report, we discuss the diagnostic strategy and management of glandular papilloma, along with a review of the literature.

CASE SUMMARY

We describe a male 44-year-old nonsmoker who presented with a persistent cough and recurrent pneumonia, which he had experienced for over 2 years. A solitary pulmonary nodule with an endobronchial lesion was found via computed tomography of the chest. After a biopsy was obtained, no definite diagnosis could be made. Glandular papilloma of the lung was confirmed via video-assisted thoracoscopic anatomic resection of the right lower lobe of the lung. The patient remained disease-free after 6 mo follow up.

CONCLUSION

Minimally invasive surgery is feasible for the surgical resection of endobronchial glandular papilloma. Although rare, glandular papilloma should be considered in patients with infection or endobronchial lesions.

Keywords: Papilloma, Lung, Treatment, Minimal invasive surgery, Diagnosis, Case report

Core tip: Glandular type of solitary respiratory papilloma is a rare disease, with only 30 cases available within the field. We had arranged minimal invasive surgery due to obstructive symptoms and repeated infection. Although rare, glandular papilloma should be considered in patient with infection or endobronchial lesion.