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J Thorac Cardiovasc Surg 2008;136:224-225
© 2008 The American Association for Thoracic Surgery


Brief Communication

Recurrent foreign body granuloma with airway obstruction: Is there a role for steroids?

Felicia S.W. Teo, MRCPa,*, Anne A.L. Hsu, FCCPa, Agasthian Thirugnanam, FRCSb

a Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore
b Department of Surgical Oncology, National Cancer Centre, Singapore

Received for publication November 25, 2007; accepted for publication December 24, 2007.

* Address for reprints: Felicia S. W. Teo, MRCP, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Road, Singapore 169608. (Email: felicia.teo.s.w@singhealth.com.sg).

The first 20% of the full text of this article appears below.

Foreign body granuloma is a well-recognized complication of thoracic surgery and is usually managed by removal of the inciting agent. We describe a rare case of recurrent granuloma formation causing significant airway obstruction despite tracheal surgery, airway stenting, and repeated bronchoscopic resections in which the use of systemic steroids eventually led to granuloma regression, obviating the need for further intervention.

Clinical Summary

A 59-year-old man underwent right pneumonectomy for non–small cell lung cancer. Five years later, he presented with progressive dyspnea. Fiberoptic bronchoscopy revealed a nodule over the pneumonectomy stump with 30% occlusion of the left main bronchus. Histology of the resected specimen showed chronic inflammation, and the patient declined further investigations. However, he became dyspneic again 7 months later and acceded to repeat . . . [Full Text of this Article]







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