• Title/Summary/Keyword: Bronchial adenoma

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A Case of Bronchial Adenoma in a Child (소아에 발생한 기관지선종의 1치험예)

  • 곽동선;김의윤
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.19-24
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    • 1969
  • A bronchial adenoma. being one of rare neoplastic diseases in children, was reported in a 4 year-old-male child. The tumor was located entirely intraluminal in the left main bronchus and was treated with left pneumonectomy because of the irreversible cystic changes were revealed throughout the left lung on open thoracotomy. The tumor was histologically confirmed to be a muco-epidermoid type of bronchial adenoma.

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Surgical Treatment of Bronchial Adenoma - Reports of 17 Cases - (기관지 선종의 외과적 치료[17례 보고])

  • 문석환
    • Journal of Chest Surgery
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    • v.25 no.3
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    • pp.247-257
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    • 1992
  • Bronchial adenoma, firstly described by Muller[1882] had been reported on the subject stressed their benign nature prior to 1940`s, but these tumors including carcinoid tumor, mucoepidermoid carcinoma, adenoid cystic carcinoma, pleomorphic adenoma are now known to possess the various degree of malignant natures from benign course, low grade malignant potential to distant lymphatic or hematogenous metastasis or combination. Although histologically diffeerent, four varieties except carcinoid tumor which is a spectrum of neu-roendocrine tumor originating Kulchitsky cell of the bronchial epithelium and form the part of the APUD tumor spectrum, are morphologically and in many respects clinically similar to the corresponding tumor of the salivary gland is a specific varient of adenocarcinoma that occurs most commonly in the major and minor salivary gland and less frequently tra-cheobronchial tree, esophagus etc. To better understand the clinical characteristics and assess more precisely the malignat nature of bronchial adenoma, we studied 17 cases of bronchial adenoma, which had been experienced at the Department of Thoracic and Cardiovascular surgery of Catholic University Medical College from April 1977 to september 1991. Seventeen cases of bronchial adenoma consist of 2 carcinoid tumors, 6 adenoid cystic carcinomas, 8 mucoepidermoid carcinomas and one pleomorphic adenoma. There is a slight predominace of male patients[10/17] and the age of pt studied varied with a higher incidence occurring between the ages of 40 years and 60 years[mean age, 46.5 years]; the youngest being 15 years and oldest 69 years. Their leading complaints were hemoptysis[4], exertional dyspnea[8], fever & chilness [4], and symptoms mimicking the bronchial asthma[4]. Diagnosis was aided by the radiologic studies such as chest X-ray, polytomography, CT scan, brochography and bronchoscopy. The preferred locations of fumor were in the trachea[4], main stem bronchus[3], bronchus intermedius[3], bronchus of RUL[2], LUL[1], RLL[1], LLL[3] with no peripheral location. Modalities of treatments were single or combination of surgical resection, radiation therapy, chemotherapy. Complete resections were permitted in 12 cases with late recurrences of 4 cases ranging from 6 months to 10 years: pneumonectomy[4], lobectomy[4], bil-obectomy[2], sleeve resection[2]. Gross findings of resected specimens in 14 cases showed that 4 cases were polyp-like pedunculated mass[entirely intraluminal mass] with intact mucosa, 8 cases were broad-bas-ed sessile mass[predominatly intraluminal] and the main portions were located below the mucosa similar to tip of iceburg[predominantly extraluminal] in 2 cases. Follow-up information was availble in all 17 cases ; eight were alive without evidence of disese ranging from 1 month to 13 years. But seven cases died of the causes related to tumor[6 cases within 12 months, one case 10 years after pneumonectomy]. We concluded that 8 cases[47%] of 17 cases were metastasizing bronchial adenoma and precise survival rate cannot be answered by the scanty materials available for study.

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A case of tumorous type of endobronchial tuberculosis simulating bronchial adenoma (기관지 선종과 유사한 종양형 기관지 결핵 1예)

  • Kang, Sin Gu;Hong, Ae Ra;Kim, Chong Ju;Song, Kwang Seon;Yong, Suk Joong;Shin, Kye Chul
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.5
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    • pp.818-823
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    • 1996
  • The tumorous type of endobronchial tuberculosis was reponed to be 5 to 10% in the bronchoscopic examination. It was protruding mass that tuberculosis mediastinal lymph nooe ruprured into the bronchial lumen. Generally histologic examination has been performed for purpose of differentiation, because the tuberculosis type of endobronchial tuberculosis simulate lung cancer in bronchoscopic finding. A case considering operation similar to bronchial adenoma in the bronchoscopic finding was confirmed to endobronchial tuberculosis by JX5itive AFB and disapperance of mass after antituberculosis medication. Case history was presented and reviewed.

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Bronchial Carcinoid - One case report - (기관지 암양종 (Carcinoid) 수술치험 1례 보고-)

  • 박형주
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.601-606
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    • 1988
  • Bronchial carcinoid was classified as one of the bronchial adenoma group and it was regarded as benign tumor because of its uniform histologic feature, predictable clinical course and good survivability after surgical resection. But recently, many authors described that bronchial carcinoid has low grade malignancy for its lymphatic spread and distant metastasis, especially atypical carcinoid. We had a case of typical bronchial carcinoid in 20 year old female patient, and successful operation was performed by bilobectomy of middle and lower lob of right lung. Postoperative course was uneventful and discharged without any complication.

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Bronchial Adenoma (Cylindroma): Report of One Case (기관지선종의 치험 1례 보고)

  • Kim, Hong-Yong;Kim, Hong-Yong;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.9-12
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    • 1972
  • Bronchial adenoma,especially adenocystic carcinoma [cylindroma] of the tracheobronchial tree is relatlvely rare in incidence. This is the report of one case of cylindroma in a 28 year old female,surgically treated at the Deparment of Thoracic Surgery,Seoul National University Hospital. The tumor was located at the left main bronchus and completely obstructing the bronchial lumen.Left pneumonecromy was performed because of the irreversible bronchiectatic and fibrotic changes of the entire left lung.

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Mucoepidermoid carcinoma of the lung (Mucoepidermoid Carcinoma 치험 1예)

  • 백광제
    • Journal of Chest Surgery
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    • v.19 no.3
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    • pp.484-488
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    • 1986
  • Mucoepidermoid carcinoma is one of bronchial adenoma which arising from submucosal gland or mucosal gland of lower respiratory tract. The symptoms of the tumor were produced by bronchial irritation and bronchial obstruction such as coughing, pneumonitis, and atelectasis. The malignancy potency of this tumor was determined by histologic pattern but high grade malignancy was uncommon and so distant metastasis was rare. Three treatment modality such as surgery, radiotherapy, chemotherapy were used for treatment but radiotherapy and chemotherapy were lesser effective than surgery. So Early and radical resection of tumor was recommended. Here we report one case of mucoepidermoid carcinoma which treated with radical resection.

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A Case of Typical Bronchial Carcinoid with Metastasis to Regional Lymph Nodes (국소 임파절 전이를 동반한 전형적 기관지 유암종 1예)

  • Kim, Ji-Hoon;Shin, Dong-Ho;Kim, Tae-Wha;Park, Sung-Soo;Lee, Jung-Hee;Chung, Won-Sang;Lyu, Geun-Shin;Ko, Young-Hyeh;Lee, Jung-Dal
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.1
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    • pp.67-71
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    • 1993
  • Bronchial carcinoids were classified as one of the bronchial adenoma group and constituted about 90% of bronchial adenoma. Typical carcinoids are common benign neoplasms of the airway because of their uniform histologic feature, predictable clinical course and good survival after surgical resection. And atypical carcinoid is regarded as a malignant tumor because of its pleomorphic, hyperchromatic nucleus, frequent mitosis and distant metastasis (about 70%). However, typical carcinoids rarely metastasize to regional lymph nodes and such cases would be regarded as a low grade malignancy because their clinical prognosis could be bad. We present a case of typical bronchial carcinoid which metastasize to hilar lymph node who has been followed up 10 months after resection.

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surgical treatment of bronchial adenoma -Report of 6 cases- (기관지선종의 수술요법)

  • Seo, Dong-Man;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.129-132
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    • 1984
  • Bronchial Adenomas are rare entity among the primary bronchopulmonary neoplasms. But they have received attention because of debate on their malignant nature, prognosis, and mode of therapy. We have four carcinoids and two cylindromas from Jan. 1972 to Jun. 1983. Operations include two pneumonectomies two lobectomies and one bilobectomy. In one cylindroma, resection was impossible due to its invasion into mediastinum and pericardium. There were no hospital deaths.

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Bronchoplastic Procedures (기관지 성형술)

  • 조건현
    • Journal of Chest Surgery
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    • v.28 no.8
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    • pp.772-777
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    • 1995
  • Bronchoplastic procedure has been considered as an appropriate surgery for traumatic bronchial disruption and occasionaly for primary bronchial tumors or tuberculosis because it can bring preservation of pulmonary tissue for patients without compromising the chance for cure. Nowadays bronchoplastic procedure is also applicable for the selected cases of bronchogenic carcinomas with favorable long term survival, when compared to standard pneumonectomy.Eighteen bronchoplastic procedures were performed with or without pulmonary resection at Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College, between 1990 and 1994. The patients were 11 men and 7 wemen with average age of 57 years [range, 19 to 71 years . Tumor comprised 56% of the lesions, including 6 squamous cell carcinoma [33% , 2 bronchial adenoma [11% , 1 leiomyoma and 1 metastatic osteogenic sarcoma. Cicatrical stenosis secondary to endobronchial tuberculosis and traumatic disruption occurred in 6 [33% and 1 patient respectively.Applied bronchoplastic procedures were as follows ; sleeve lobectomy, 8 cases [right upper : 6, left upper : 1, right middle : 1 : bronchial segmental resection without pulmonary resection, 2 cases : sleeve bi-lobectomy, 1 cases :patch dilating bronchoplasty with or without concomitant lobectomy in 7. There was no perioperative mortality. Morbidity in 4 patients included 1 transient recurrent laryngeal nerve palsy, 1 unstability of bronchial patch resulting atelectasis of afftected lung and 2 bronchial stenosis of anastomotic site.Throughout our experiences, we feel strongly that bronchoplastic procedure is a safe and effective surgical method preserving normal pulmonary tissue below affected bronchus for the wide range of various bronchial lesion including selected cases of bronchogenic carcinoma with acceptable complication and mortality.

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Tracheal pleomorphic adenoma with coexisting pulmonary tuberculoma

  • Kim, Jehun;Oak, Chul-Ho;Jang, Tae-Won;Jung, Mann-Hong
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.114-120
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    • 2018
  • Tracheal tumors are rare and difficult to diagnose. Moreover, delays in diagnosis are very common because the symptoms are nonspecific. As a result, tracheal tumors are commonly mistreated as chronic obstructive pulmonary disease or bronchial asthma. We report a case of a 49-year-old male who presented with a 3-month history of dyspnea and cough. Chest computed tomography scan showed a $1.5{\times}1.3cm$ homogenous tumor originating from the right lateral wall of the tracheobronchial angle into the tracheal lumen as well as a $0.5{\times}0.4cm$ round nodular lesion at the right upper lobe with multiple mediastinal lymph nodes enlargement. Bronchoscopic findings revealed a broad-based, polypoid lesion nearly obstructing the airway of the right main bronchus. The patient was diagnosed with pleomorphic adenoma which is the most common benign tumor of the salivary glands, but rarely appears in the trachea. Upon surgery, tracheal pleomorphic adenoma and co-existing active pulmonary tuberculoma that had been mistreated as bronchial asthma over 3 months was revealed. Following surgery, the patient underwent anti-tuberculosis treatment. No recurrence has been detected in the 3 years since treatment and the patient is now asymptomatic.