Procedures: Procedures: Bronchology |

A Case Report of Endobronchial Hamartoma FREE TO VIEW

Wen Xi, MD
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Peking University People's Hospital, Beijing, China

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A429. doi:10.1016/j.chest.2016.02.447
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SESSION TITLE: Procedures: Bronchology

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, April 17, 2016 at 11:45 AM - 12:45 PM

INTRODUCTION: Benign pulmonary tumors account for a small proportion in pulmonary tumors, of these, lung hamartomas are the most common with an incidence between 0.025% and 0.32%.

CASE PRESENTATION: We report a case of endobronchial hamartoma in a 56-year-old male. This patient presented with recurrent fever, cough and sputum for 13 years, especially in winter, and showed progressive shortness of breath and exercise intolerance in recent 6 years. Chest CT showed one shadow of calcification located in the left main bronchus and left destroyed lung with multiple cavities. Pathological diagnosis after left total pneumonectomy showed endobronchial hamartoma composed largely of cartilage.

DISCUSSION: Early diagnosis and resection of benign endobronchial tumors may avert significant morbidity and prevent distal lung damage. As therapeutic bronchoscopy has improved, it may replace conventional operations for resection of endobronchial benign tumors in the early course.

CONCLUSIONS: Endobronchial hamartoma is a rare benign tumor with a high preoperative misdiagnosis rate. Bronchoscopy is a possible procedure to diagnose and treat it in the early course.

Reference #1: B.G. Cosio, V. Villena, J. Echave-Sustaeta, et al. Endobronchial hamartoma. Chest. 2002;122(1):202-205.

DISCLOSURE: The following authors have nothing to disclose: Wen Xi

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