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Pulmonary spread of laryngeal papillomatosis: radiological findings
Authors:Abe Katsumi  Tanaka Yoshiaki  Takahashi Motoichiro  Kosuda Shigeru  Hayashi Katsumi  Tanabe Tetsuya  Iwasaki Yoshie  Aida Shinsuke  Kawauchi Toshio  Yamamoto Masayoshi  Kita Tamotsu  Kaji Tatsumi
Affiliation:(1) Department of Radiology, Nihon University School of Medicine, 30-1 Ooyaguchikamimachi, Itabashi-ku, Tokyo 173-8610, Japan;(2) Department of Radiology, Nihon University Surugadai Hospital, Tokyo, Japan;(3) Department of Radiology, National Defense Medical College, Saitama, Japan;(4) Department of Otorhinolaryngology, National Defense Medical College, Saitama, Japan;(5) Department of Pathology, National Defense Medical College, Saitama, Japan
Abstract:Laryngeal papillomatosis is a rare benign disease seen in children and young adults. The spread of laryngeal papillomas throughout the respiratory tract occurs rarely; and involvement of the distal bronchi, bronchioles, and lung parenchyma is very rare. We report a case of pulmonary spread of laryngeal papillomatosis in a 34-year-old man, focusing on the radiological evidence. Chest radiographs showed pulmonary nodules, but computed tomography scans more clearly demonstrated multiple small nodules showing cavitations and distributed centrilobularly. Pulmonary nodules and cavitations progressed gradually through the 6-year follow-up. The combination of clinical and characteristic radiological features suggests a diagnosis of pulmonary spread of laryngeal papillomatosis.
Keywords:Laryngeal papillomatosis  Thorax  Radiography  Lung disease  CT scan
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