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支气管内错构瘤作为反复出现呼吸道症状的罕见病因:病例报告及文献综述

Endobronchial Hamartoma as a Rare Cause of Recurrent Respiratory Symptoms: Case Report and Literature Review.

作者信息

Minalyan Artem, Gopisetti Neethu, Estepa Adrian, Grover Harshwant, Patel Rajeshkumar

机构信息

Internal Medicine, Abington Jefferson Health, Abington, USA.

Pulmonary and Critical Care Medicine, Abington Jefferson Health, Abington, USA.

出版信息

Cureus. 2019 Aug 26;11(8):e5489. doi: 10.7759/cureus.5489.

Abstract

Most of the endobronchial lesions are malignant in origin. In rare instances, benign lesions occupying the endobronchial tree can mimic malignant neoplasms on conventional imaging tests. We present a case of a middle-aged male patient who was admitted to our hospital with recurrent hemoptysis concerning for lung cancer on computed tomography (CT) of the chest. Biopsy of the mass obtained via bronchoscopy revealed a benign lesion most consistent with lipomatous hamartoma, which is known to constitute only 10% of all pulmonary hamartomas. We also present the data of a comprehensive literature review of the epidemiology, clinical symptoms, diagnosis, treatment, and prognosis of patients with endobronchial hamartomas.

摘要

大多数支气管内病变起源于恶性。在罕见情况下,占据支气管树的良性病变在传统影像学检查中可类似恶性肿瘤。我们报告一例中年男性患者,因反复咯血入院,胸部计算机断层扫描(CT)提示肺癌。经支气管镜获取的肿块活检显示为良性病变,最符合脂肪瘤样错构瘤,已知其仅占所有肺错构瘤的10%。我们还展示了对支气管内错构瘤患者的流行病学、临床症状、诊断、治疗及预后进行全面文献综述的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef37/6812931/1cdb0af08329/cureus-0011-00000005489-i01.jpg

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