Anbazhakan Lakshitha, Ullah Asad, Munagala Rohit, Bechara Rabih, Elhelf Islam, Patel Nikhil, Karim Nagla Abdel
Augusta University, Medical College of Georgia, Augusta, Georgia, USA.
Autops Case Rep. 2022 May 2;12:e2021377. doi: 10.4322/acr.2021.377. eCollection 2022.
Endobronchial lipomas are rare benign lung tumors that can cause bronchial obstruction and parenchymal damage. While an uncommon etiology, they are often misdiagnosed due to a clinical presentation similar to obstructive pulmonary pathologies such as COPD and asthma. Upon review of English-language literature, under 50 cases of endobronchial lipomas were documented in the prior 10 years (2011-2021). There are no clear guidelines regarding the management of this particular entity, but typically interventional debulking is the treatment of choice. Here we present another unique case of endobronchial lipoma along with our diagnostic and therapeutic methodology. The patient underwent bronchoscopic debulking via a cryotherapy probe. Based on the histopathologic analysis, a diagnosis of endobronchial lipoma was made. Endobronchial lipomas must remain in any clinician's differential when a patient presents with dyspnea. We report the unique location of this lipoma based on our literature review and the importance of investigating endobronchial lesions due to a possible diagnosis of endobronchial lipoma.
支气管内脂肪瘤是罕见的良性肺部肿瘤，可导致支气管阻塞和实质损害。虽然病因不常见，但由于其临床表现与慢性阻塞性肺疾病（COPD）和哮喘等阻塞性肺部疾病相似，常被误诊。回顾英文文献，在过去10年（2011 - 2021年）中记录的支气管内脂肪瘤病例不足50例。对于这种特殊疾病的管理尚无明确指南，但通常介入性减瘤是首选治疗方法。在此，我们介绍另一例独特的支气管内脂肪瘤病例以及我们的诊断和治疗方法。该患者通过冷冻治疗探头进行了支气管镜下减瘤。基于组织病理学分析，诊断为支气管内脂肪瘤。当患者出现呼吸困难时，支气管内脂肪瘤必须保留在任何临床医生的鉴别诊断中。我们根据文献回顾报告了该脂肪瘤的独特位置，以及由于可能诊断为支气管内脂肪瘤而对支气管内病变进行检查的重要性。
