Endobronchial Chondroid Hamartoma Removed by Segmentectomy -Surgical Experience of One Case -

폐구역절제술로 제거된 기관지 내 연골성 과오종 -수술치험 1예 -

  • Cho, Seong-Ho (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine) ;
  • Park, Sung-Dal (Department of Thoracic and Cardiovascular Surgery, Kosin University College of Medicine)
  • 조성호 (고신대학교 의과대학 흉부외과학교실) ;
  • 박성달 (고신대학교 의과대학 흉부외과학교실)
  • Published : 2005.09.01

Abstract

In comparison to parenchymal hamartoma, endobronchial hamartoma is rare benign neoplasm of the lung. Most parenchymal hamariomas are asymptomatic and are found incidentally. However, endobronchial hamartomas are frequently discovered through respiratory symptoms as a result of bronchial irritation or obstruction. A 47-year-old male patient was admitted to our hospital due to dry cough f month prior to admission. On bronchoscopic examination, a polypoid mass was found completely obliterating the anterior segmental bronchus of the left upper lobe. We report a case of endobronchial chondroid hamartoma, which was resected by anterior segmentectomy of the left upper lobe.

폐실질내 과오종에 비해 기관지 내 과오종은 드문 질환으로 폐실질 내 과오종이 우연히 발견되는 것에 비해 기관지 내 과오종은 기관지 폐색에 의한 증상이 유발되어 발견되는 경우가 많다. 47세 남자가 한 달간의 기침을 주소로 내원하였다. 기관지 내시경에서 좌상엽 전구역을 페쇄하고 있는 과오종이 발견되었으며 좌상엽전구역 절제술로 제거되었다. 저자들은 좌상엽 전구역 절제술로 제거된 기관지내 과오종을 경험하여 보고하는 바이다.

Keywords

References

  1. Arrigoni MG, Woolner LB, Bernatz PE, Miller WE, Fontana RS, Minn R. Benign tumors of the lung: a ten-year surgical experience. J Thorac Cardiovasc Surg 1970;60:589-99
  2. Gjevre JA, Mayers JL, Prakach UB. Pulmonary hamartomas. Mayo Clin Proc 1996;71:14-20 https://doi.org/10.4065/71.1.14
  3. Cosio BG, Villena V, Echave-Sustaeta J, et al. Endobronchial hamartoma. Chest 2002;122:202-5 https://doi.org/10.1378/chest.122.1.202
  4. Davis WK, Roberts LJR, Foster WLJR, Peyton RB, Halvorsen RJR. Computed tomographic diagnosis of an endobronchial hamartoma. Invest Radiol 1988;23:941-4 https://doi.org/10.1097/00004424-198812000-00013
  5. Tomashefski JF. Benign endobronchial mesenchymal tumors. Am J Surg Pathol 1982;6:531-40 https://doi.org/10.1097/00000478-198209000-00005
  6. Kim SE, Lee HL, Kim SK, et al. A clinical study of pulmonary hamartoma. Tuberc Respir Dis 1993; 40:565-74
  7. Mendelsohn SL, Fagelmen DF, Mendelson SZ. Endobronchial lipoma demonstrated by CT. Radiol 1983;148:790
  8. Tajima H, Hayashi Y, Maehara T, et al. Endobronchial hamartoma treated by an Nd-Yag Laser: Report of a case. Surg Today 1998;2:1078-80