Medical ArticlesSite Of Lodgement
Almost all foreign bodies are arrested in the cervical esoph...
In hypertension, as long as the heart, which is probably hyp...
The Organic Versus Chemical Feud
Now, regrettably, and at great personal risk to my reputation...
Affection Of The Cerebellum And Spine
In affections of the _cerebellum_ and _spinal marrow_, the pa...
Complications And After-effects Of Bronchoscopy
All foreign body cases should be watched day and night by spe...
Rash Or Hives
Infants are often troubled with large red, angry-looking spots...
Scarlatina Sine Exanthemate
There are also mild cases of scarlet-fever, when little or no...
Vitamins For An Older Healthy Person
Someone who is beyond 35 to 40 years of age should still feel...
Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely ...
Angioneurotic edema manifests itself by a pale or red swolle...
Biliary Calculi Gravel In Liver
Take A C current, strong as can be borne; and treat the infla...
The Relative Position Of The Deeper Organs Of The Thorax And Those Of The Abdomen
The size or capacity of the thorax in relation to that of the...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
This distressing and most infectious trouble is due to a small...
This is a name applied to pain in the region of the heart cau...
Pulse Testing For Allergies
Coca's Pulse Tests are extraordinarily useful and simple tool...
Burns Case Xxxv
The following case will present a specimen of my trials of th...
Lungs Bleeding From
This is usually taken as a most alarming, and even hopeless, s...
Bruises Case Xv
The following case was far more severe, but the mode of treat...
Children And Teachers
Children are of the utmost value to society; through any one o...
Benign Growths Primary In The Tracheobronchial Tree
Category: BENIGN NEOPLASMS OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Extension of papillomata from the larynx into the cervical trachea,
especially about the tracheotomy wound, is of relatively common
occurrence. True primary growths of the tracheobronchial tree, though
not frequent, are by no means rare. These primary growths include
primary papillomata and fibromata as the most frequent, aberrant
thyroid, lipomata, adenomata, granulomata and amyloid tumors.
Chondromata and osteochondromata may be benign but are prone to
develop malignancy, and by sarcomatous or other changes, even
metaplasia. Edematous polypi and other more or less tumor-like
inflammatory sequelae are occasionally encountered.
Symptoms of Benign Tumors of the Tracheobronchial Tree.--Cough,
wheezing respiration, and dyspnea, varying in degree with the size of
the tumor, indicate obstruction of the airway. Associated with
defective aeration will be the signs of deficient drainage of
secretions. Roentgenray examination may show the shadow of
enchondromata or osteomata, and will also show variations in aeration
should the tumor be in a bronchus.
Bronchoscopic removal of benign growths is readily accomplished with
the endoscopic punch forceps shown in Figs. 28 and 33. Quick action
may be necessary should a large tumor producing great dyspnea be
encountered, for the dyspnea is apt to be increased by the congestion,
cough, and increased respiration and spasm incidental to the presence
of the bronchoscope in the trachea. General anesthesia, as in all
cases showing dyspnea, is contraindicated. The risks of hemorrhage
following removal are very slight, provided fungations on an
aneurismal erosion be not mistaken for a tumor.
Multiple papillomata when very numerous are best removed by the
author's coring method. This consists in the insertion of an
aspirating bronchoscope with the mechanical aspirator working at full
negative pressure. The papillomata are removed like coring an apple;
though the rounded edge of the bronchoscope does not even scratch the
tracheal mucosa. Many of the papillomata are taken off by the holes in
the bronchoscope. Aspiration of the detached papillomata into the
lungs is prevented by the corking of the tube-mouth with the mass of
papillomata held by the negative pressure at the canal inlet orifice.
Next: Benign Neoplasms Of The Esophagus
Previous: Methods Of Treatment