Hoshino Taiki, Yoshizawa Masatoshi, Ishida Hisao
Department of Thoracic Surgery, Kyoto Okamoto Memorial Hospital, Kyoto, Japan.
Kyobu Geka. 2022 Oct;75(11):983-986.
Pulmonary hamartomas are common benign lung tumors. Most cases are parenchymal chondromatous hamartomas, whereas endobronchial lipomatous hamartomas are rarely encountered. A 78-year-old man was referred for left superior subsegmental atelectasis due to obstruction by an endobronchial tumor that was found incidentally on chest computed tomography for the postoperative follow-up of colon cancer. Bronchoscopy showed a polypoid tumor in the orifice of the left upper segmental bronchus. Lipoma was diagnosed by a bronchoscopic biopsy. We performed a segmentectomy of the upper division of the left lung because the tumor was presumed to be located peripherally to the left B3 segmental bronchus. A histopathological examination revealed that the tumor was an endobronchial lipomatous hamartoma that extended to the pulmonary parenchyma beyond the bronchial wall.
肺错构瘤是常见的肺部良性肿瘤。大多数病例为实质型软骨瘤样错构瘤,而支气管内脂肪瘤样错构瘤则很少见。一名78岁男性因结肠癌术后胸部计算机断层扫描偶然发现支气管内肿瘤阻塞导致左上叶亚段肺不张而前来就诊。支气管镜检查显示左肺上叶段支气管开口处有一息肉样肿瘤。经支气管镜活检诊断为脂肪瘤。由于肿瘤推测位于左B3段支气管的外周,我们对左肺上叶进行了肺段切除术。组织病理学检查显示,该肿瘤为支气管内脂肪瘤样错构瘤,延伸至支气管壁外的肺实质。