Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

A Case of Endobronchial Hamartoma Treated with Rigid Bronchoscopy

경성 기관지내시경을 이용한 기관지내 과오종 치험 1예

  • Kim, Ki-Hyun (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Hong, Hyun-Suk (Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Koh, Eun-Suk (Department of Pathology, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Koh, Yoon-Woo (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 김기현 (순천향대학교 의과대학 부천병원 이비인후과학교실) ;
  • 홍현숙 (순천향대학교 의과대학 부천병원 영상의학과학교실) ;
  • 고은석 (순천향대학교 의과대학 부천병원 병리학교실) ;
  • 고윤우 (순천향대학교 의과대학 부천병원 이비인후과학교실)
  • Published : 2008.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Hamartoma is one of the most common benign lung tumors. Most of them are located in the lung parenchyme, but very rarely it can originate endobronchially. Endobronchial hamartoma may cause irreversible lung damage due to the bronchial obstruction if it is not diagnosed and treated properly. The most frequent clinical features are hemoptysis and obstructive pneumonia. Transbronchial endoscopic surgery is a good therapeutic choice and is recommended first for patients who have resectable small endobronchial hamartoma. Here, we report a case of endobronchial hamartoma treated with rigid bronchoscopy and various microforceps with a review of the literature.

Keywords

References

  1. Joseph F, Tomashefski JR: Benign endobronchial mesenchymal tumors: Their relationship to parenchymal pulmonary hamartomas. Am J Surg Pathol. 1982;6:531-540 https://doi.org/10.1097/00000478-198209000-00005
  2. Hansen CP, Holtveg H, Francis D, Rasch L, Bertelsen S: Pulmonary hamartoma. J Thorac Cardiovasc Surg. 1992;104:674-678
  3. Van den Bosch JM, Wagenaar SS, Corrin B: Mesenchymoma of the lung(so called hamartoma): a review of 154 parenchymal and endobronchial cases. Thorax. 1987;42:790-793 https://doi.org/10.1136/thx.42.10.790
  4. Moon EW, Wang YP, Suh JH, Jo KH, Kwack MS, Lee SH: Removal of Benign Endotracheal/Endobronchial Tumor. Korean J Thorac Cardiovasc Surg. 2003;36:699-702
  5. Lee SH, Yoon HK, Song SH, Lee SY, Kim SC, Ahn JH, et al: Clinical Analysis of Pulmonary Hamartoma: 29 Cases. Tuberc Respir Dis. 2002;53(6):644-649 https://doi.org/10.4046/trd.2002.53.6.644
  6. Okada S, Yamauchi H, Ishimori S, Satoh S, Sugawara H, Tanaba Y: Endoscopic surgery with a flexible bronchoscope and argon plasma coagulation for tracheobronchial tumors. J Thorac Cardiovasc Surg. 2001;121(1):180-182 https://doi.org/10.1067/mtc.2001.109544
  7. Hart: Ueber die Primaren Enchondrome der lunge. 1906;4:578-579
  8. Bateson EM: So called hamartoma of the lung-A true neoplasm of fibrous connective tissue of the bronchi. Cancer. 1973;31:1458-1467 https://doi.org/10.1002/1097-0142(197306)31:6<1458::AID-CNCR2820310622>3.0.CO;2-Y
  9. Dovenbarger WV, Elstun W: Endobronchial hamartoma. Am J Med. 1961;30:965-971 https://doi.org/10.1016/0002-9343(61)90184-X
  10. Siegelman SS, Khouri NF, Scott WW: Pulmonary hamartoma: CT findings. Radiology. 1986;160:313-317 https://doi.org/10.1148/radiology.160.2.3726106
  11. Sherrick JC: Endobronchial hamartoma. Quart Bull Northwestern Univ School. 1952;26:171-175
  12. Liebow AA. Benign intrabronchial tumor. Atlas of Tumor Pathology. 1981:119-121
  13. Ishibashi H, Akamatsu H, Kikuchi M, Sunamori M: Resection of endobronchial hamartoma by bronchoplasty and transbronchial endoscopic surgery. Ann Thorac Surg. 2003;75:1300-1302 https://doi.org/10.1016/S0003-4975(02)04624-6
  14. Karasik A, Modan M, Jacob CO, Liebermann Y: Increased risk of lung cancer in patients with chondromatous hamartoma. J Thorac Cardiovasc Surg. 1980;89:217-220
  15. Hayward RH. Malignant hamartoma of the lung: fact or fiction?. J Thorac Cardiovasc Surg. 1967;53:457-466