title: A Case of Recurrent Respiratory Papillomatosis Successfully Removed Via Endoscopic Argon Plasma Coagulation (APC) With No Evidence of Recurrence.
abstract: Recurrent respiratory papillomatosis (RRP) is a benign disease caused by the human papilloma virus (HPV), characterized by the formation of recurrent, epithelial neoplastic lesions in the airways. While benign, they can cause significant airway obstruction in some cases. Difficulties in treatment arise from the recurrent nature of the lesions despite repeated procedures. Other known procedures that result in deep tissue damage also cause unacceptable collateral damage to the underlying airway mucosa. We describe a case of recurrent papillomatosis that was successfully treated with argon plasma coagulation ( APC) when laser and electrocautery ablation had failed in the past. After the papillomatasis was treated with APC, there is no recurrence on repeat scope at 4 months and 9 months after the initial procedure. The procedure was done as a day case and there is no complication from the procedure. The property of the APC that allows it to cause only superficial thermal damage to the tissue makes it a suitable adjunct therapy to the treatment of papillomas, which are usually superficial lesions.
authors.affiliation: Hospital Umum Sarawak, Department of Medicine, Respiratory unit, Sarawak, Malaysia. wongjl@srwk.moh.gov.my.
authors.forename: J L
authors.initials: JL
authors.lastname: Wong
authors.affiliation: Hospital Umum Sarawak, Department of Medicine, Respiratory unit, Sarawak, Malaysia.
authors.forename: S T
authors.initials: ST
authors.lastname: Tie
authors.affiliation: Hospital Umum Sarawak, Department of Nephrology, Sarawak, Malaysia.
authors.forename: J
authors.initials: J
authors.lastname: Lee
authors.affiliation: Hospital Queen Elizabeth, Department of Respiratory Medicine, Sabah, Malaysia.
authors.forename: S K
authors.initials: SK
authors.lastname: Kannan
authors.affiliation: Hospital Queen Elizabeth, Department of Respiratory Medicine, Sabah, Malaysia.
authors.forename: M R
authors.initials: MR
authors.lastname: Rashid Ali
authors.affiliation: Hospital Queen Elizabeth, Department of Respiratory Medicine, Sabah, Malaysia.
authors.forename: A
authors.initials: A
authors.lastname: Ibrahim
authors.affiliation: Hospital Queen Elizabeth, Department of Respiratory Medicine, Sabah, Malaysia.
authors.forename: J A
authors.initials: JA
authors.lastname: Abdul Rahman