Ishibashi Hironori, Akamatsu Hideki, Kikuchi Masataka, Sunamori Makoto
Department of Thoracic Cardiovascular Surgery, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Ann Thorac Surg. 2003 Apr;75(4):1300-2. doi: 10.1016/s0003-4975(02)04624-6.
Endobronchial hamartoma is a rare, benign tumor usually associated with pneumonitis and atelectasis caused by obstruction. Lobectomy is sometimes performed even if the tumor is benign. Transbronchial endoscopic surgery is usually performed for patients with a small endobronchial hamartoma. We report our treatment of a large hamartoma completely obstructing the patient's left main bronchus. The tumor was partially resected, and that remaining was resected by transbronchial endoscopic surgery. No finding of recurrence of the endobronchial hamartoma was detected by endoscopy or biopsy for 3 years. A combination of bronchoplasty and transbronchial endoscopic surgery benefits patients with large endobronchial hamartoma by preserving the lung parenchyma.
支气管内错构瘤是一种罕见的良性肿瘤，通常与阻塞性肺炎和肺不张有关。即使肿瘤是良性的，有时也会进行肺叶切除术。对于支气管内错构瘤较小的患者，通常采用经支气管内镜手术。我们报告了对一名左主支气管完全被巨大错构瘤阻塞的患者的治疗情况。肿瘤部分切除，剩余部分通过经支气管内镜手术切除。3年来，通过内镜检查或活检未发现支气管内错构瘤复发。支气管成形术和经支气管内镜手术相结合，通过保留肺实质，使患有巨大支气管内错构瘤的患者受益。
