Pulmonary Procedures |

Endoscopical Treatment of Benign Tracheobronchial Tumors FREE TO VIEW

Marioara Simon, MD; Petrut Vremaroiu, MD
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Pneumology Hospital, Cluj-Napoca, Romania

Chest. 2013;144(4_MeetingAbstracts):812A. doi:10.1378/chest.1703871
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SESSION TITLE: Bronchoscopy and Interventional Procedures Posters II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: Benign airway tumors accounts for only a small percentage from the bronchologist's everyday practice. Tumor removal is thus considered the treatment of choice to improve respiratory status. Electrocautery and electrosurgical snaring may be effective alternatives in bronchoscopic treatment of benign airway tumors.We will illustrate using some representative cases the treatment's efficiency.

METHODS: We present a retrospective analysis of 9800 fibrobronchoscopies performed between 2007-2012 in the Bronchology Department of Pneumology Hospital Cluj-Napoca, Romania. The examinations were performed using Olympus fibrobronchoscope, in local anesthesia with Lidocaine 2%, and mild sedation.

RESULTS: Fourteen patients with pathologically confirmed benign endobronchial and endotracheal tumors were identified: 2 papilloma, 2 fibroepithelial polyp, 3 lipoma, 2 hamartoma, 2 myxoid-fibroma,1 neurofibroma,1 hemangioma,1 leiomioma. All patients were symptomatic but only 35,7% had modified radiological aspects. We report the successful removal of endobronchial tumors via flexible bronchoscopy with electrosurgical snare, without complications and present some representative cases. Follow-up bronchoscopic examinations showed no residual or recurrent disease.

CONCLUSIONS: Bronchoscopic resection with electrosurgical snare appears to be a safe, easy and cost-effective method for benign endobronchial tumors

CLINICAL IMPLICATIONS: Bronchoscopic resection should be considered as the first choice of treatment for endobronchial benign tumors.

DISCLOSURE: The following authors have nothing to disclose: Marioara Simon, Petrut Vremaroiu

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