Weekly Chest CasesArchive of Old Cases

Case No : 809 Date 2013-04-29

  • Courtesy of Eun Young Kim / Gachon University Gil Hospital
  • Age/Sex 65 / F
  • Chief Complaintdyspnea and voice change (onset: 1 month ago)
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Diagnosis
Trachobronchopathia osteochondroplastica
Radiologic Findings
Noncontrast chest CT scans show calcified /noncalcified multiple small mural nodules in the anterolateral tracheal and proximal bronchial wall, sparing posterior membranous tracheal wall.
Brief Review
# Rare idiopathic benign condition charaterized by multiple submucosal osteocartilaginous nodules in central airway walls (trachea and proximal bronchi)
# Presentation
- usually asymptomatic
- dyspnea, cough, wheezing, hemoptysis, recurrent pneumonia
- may be discovered during difficult intubation or bronchoscopy
# Demographics
- age: usually > 50 years of age
- gender, male>female (3:1)
- epidemiology : 0.5% prevalence at autopsy
# Natural history and prognosis
- slow progression
- usually incidental diagnosis at autopsy
# Treatment
- endoscophic therapy or surgery for obstructing lesions.
# General feature
- best diagnostic clue : nodular tracheal wall
- location: anterolateral tracheal walls, sparing of posterior membranous tracheal wall
- size: 1-3mm small uniform nodules
- typically round: may appear plaque-like or polypoid
# CT findings
- calcified /noncalcified multiple small mural nodules, protruding into airway lumen
- involvement of anterolateral tracheal & proximal bronchial wall
- sparing of posterior menbramous tracheal wall (where there is no cartilage)
- viable degree of airway stenosis
- Saber-sheath appearance of trachea in some patient

References
1. Nonneoplastic Lesions of the Tracheobronchial Wall: Radiologic Findings with Bronchoscopic Correlation1, Jeffrey S. Prince, MD. et al, RadioGraphics 2002; 22:S215-230
Please refer to
Case 695 Case 373 Case 228
Keywords
Airway, Non-infectious inflammation,

No. of Applicants : 118

▶ Correct Answer : 90/118,  76.3%
  • - Kyung Hee University Hospital at Gangdong , Korea (South) Seong Jong Yun
  • - Khoo Teck Phuat Hospital Singapore , Singapore ashish chawla
  • - Samsung medical center , Korea (South) Hyun Su Kim
  • - GHTM ,STANLEY MEDICAL COLLEGE,CHENNAI , India siva raja
  • - SRM Medical College , India Indira P
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - kyung-hee university hospital , Korea (South) yunkyun shin
  • - SRM Medical College , India Prakash G
  • - kasturba medical college , India mugil varman
  • - radiologist, aditya imaging centre , India vivek patel
  • - Hanam sungshim hospital , Korea (South) CHANG IL KIM
  • - sahyadri speciality hospital , India kothareddy dileepreddy
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - AFCH , Korea (South) Bongwan Noh
  • - Korea university , Korea (South) Kun Woo Kang
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) Sang Min Lee
  • - SNUH , Korea (South) Euijin Hwang
  • - GHICL , France manuel toledano
  • - Saga University , Japan Ryoko Egashira
  • - CHU POITIERS , France Charles SIMONET
  • - TCM HOSPITAL OF ZIGONG , China Cao Cunyou
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - SRM medical college , India ram s
  • - Saint Malo , France jean-baptiste Noel
  • - Dongguk University , Korea (South) DJ Shin
  • - Government Medical College, Nagpur, India , India Krishna Prasad Bellam
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae-Wook Yeh
  • - Konkuk university hospital , Korea (South) Jeong Geun Yi
  • - stanley medical college , India mahes waran
  • - Dae-jeon Bohun Veterans Hospital , Korea (South) KI-TAE HAN
  • - Korea University Guro Hospital , Korea (South) Jeong Woo Kim
  • - Chonnam national univ. hospital , Korea (South) Choi Seul-Gi
  • - Kasturba Medical College , India Chandan Kakkar
  • - McGill University - Cairo University , Canada Hisham Mikhael
  • - Nagasaki University Hospital, Department of Pathology , Japan TOMONORI TANAKA
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - McGill University Health Center , Canada Alexandre Semionov
  • - University of ottawa , Canada Subramaniyah Ramanathan
  • - UWO , Canada S Lee
  • - Chonnam National University Hospital , Korea (South) Jung hyun Kim
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Chonnam national university hospital , Korea (South) SeungJin Lee
  • - , Korea (South) Chan Park
  • - Chonnam National University Hospital , Korea (South) So yeon Ki
  • - University of British Columbia , Canada Amr Ajlan
  • - McGill university , Canada Badriya Al-Qassabi
  • - Dongtan Sacred Heart Hospital , Korea (South) Younghwan Ko
  • - Myongji hospital , Korea (South) Ji Ye Lee
  • - All India Institute of medical sciences , India Justin Moses
  • - , Korea (South) 議고˜„
  • - Vikram hospital , India Pravin Mahadevappa
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Asan Medical Center , Korea (South) Dong Wook Kim
  • - ICD,MCH CALICUT , India rikhy krishnan
  • - Asan medical center , Korea (South) yoonyoung choi
  • - Joeun Kumgang hospital , Korea (South) Ji Eun Seok
  • - The Ottawa Hospital , Canada Vineeta Sethi
  • - Hallym sacred heart hospital , Korea (South) JIHYUN KIM
  • - Korea university anam hospital , Korea (South) Sung-Hye You
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - Kyoto University , Japan Akihiko Sakata
  • - Konkuk University Medical Center , Korea (South) Inyoung Song
  • - DongA University hospital , Korea (South) Jiyoung Kang
  • - Myongji , Korea (South) soon-young Moon
  • - Kyunghee university medical center at Kangdong , Korea (South) Soyoun Shin
  • - Hanyang University Hospital , Korea (South) Yo Won Choi
  • - ESIC SUPERSPECIALITY HOSPITAL,KOLLAM,INDIA , India rohith babu
  • - CARE HOSPITAL,BHUBANESWAR , India shakti satapathy
  • - Himeji St.Mary Hospital , Japan Yuichiro Kanie
  • - CBNUH , Korea (South) jihyung lee
  • - Chungbuk University Hospital , Korea (South) Yunhee Jang
  • - chungbuk national university hospital , Korea (South) soojung lee
  • - Myongji hostipal , Korea (South) Yongsuk Jang
  • - NDMVP Nashik , India Imran Jindani
  • - chp st martin , France Mariotte benoit
  • - 異⑸ , China ZHANG YING
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - Private sector , Greece Vasilios Tzilas
  • - CAC Rennes , France nicolas gautier
  • - Alswaida- zaid alsherity hospital , Syria jehad alakabani
  • - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
  • - Kobe City Medical Center General Hospital , Japan Yasuhisa Kurata
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Pulmonary Institute, Shaare Zedek Medical Center , Israel Abraham Bohadana
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - CNUH , Korea (South) Kim Soo Hyun
  • - Kyungpook National University Hospital , Korea (South) Jaekwang Lim
  • - Medicheck health care , Korea (South) Chae Lim
  • - Fukuyama City Hospital , Japan Mayu Uka
  • - NASA SCANS , India RAKESH BHATIA
▶ Correct Answer as Differential Diagnosis : 15/118,  12.7%
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Ewha Womans University Mokdong Hospital , Korea (South) Jin Sil Kim
  • - , Korea (South) park ji hoon
  • - NIMS, HYDERABAD , India bhaskar kakarla
  • - Asan medical center , Korea (South) Hyun Joo Lee
  • - James Paget Hospital , U.K , United Kingdom nabil mahmood
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - SKG radiology , Australia Yuranga Weerakkody
  • - Chungnam National University hospital , Korea (South) sunkyoung you
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Eren T캇p Merkezi Istanbul , Turkey Armagan Sarac
  • - Chernomorska , Bulgaria VLADISLAV RUSINOV
  • - Mashhad University of Medical Sciences , Iran Bita Abbasi
  • - Fortis hospital , Mohali , India Shaleen Rana
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

This website is optimized for IE 10 and above.