Matsunaga Kyosuke, Takanashi Yusuke, Oiki Hironobu, Hayakawa Takamitsu, Matsuura Shun, Neyatani Hiroshi
Departments of Thoracic Surgery, Fujieda Municipal General Hospital, Fujieda, Japan.
Kyobu Geka. 2016 Dec;69(13):1115-1118.
We present a rare case of endobronchial hamartoma that required right middle and lower lobectomy. A 59-year-old man presented with cough and sputum lasting for 9 months. Chest X-ray revealed obstructive pneumonia of the right inferior lobe. Chest computed tomography demonstrated an intrabronchial mass lesion, size 12×12 mm, occluding the entrance of the right lower lobe bronchus associated with obstructive pneumonia of the right inferior lobe. Because transbronchial biopsy could not confirm the diagnosis, we performed a right middle and lower lobectomy to diagnose and treat obstructive pneumonia. Histopathological diagnosis of the tumor was hamartoma. Hamartoma, the most common benign lung tumor, is classified into the following 2 types:pulmonary parenchyma and endobronchial, the latter is relatively rare. Although hamartomas have benign characteristics, cases of endobronchial hamartomas associated with obstructive pneumonia may require lobectomy.
我们报告一例罕见的需要行右中肺叶及下肺叶切除术的支气管内错构瘤病例。一名59岁男性,咳嗽、咳痰9个月。胸部X线显示右下叶阻塞性肺炎。胸部计算机断层扫描显示支气管内有一大小为12×12mm的肿块,阻塞右下叶支气管入口,伴有右下叶阻塞性肺炎。由于经支气管活检未能确诊,我们进行了右中肺叶及下肺叶切除术以诊断和治疗阻塞性肺炎。肿瘤的组织病理学诊断为错构瘤。错构瘤是最常见的肺部良性肿瘤,分为以下两种类型:肺实质型和支气管内型,后者相对少见。尽管错构瘤具有良性特征,但与阻塞性肺炎相关的支气管内错构瘤病例可能需要行肺叶切除术。