Shah H, Garbe L, Nussbaum E, Dumon J F, Chiodera P L, Cavaliere S
Respiratory Services, Kettering Medical Center, Dayton, Ohio, USA.
Chest. 1995 Jun;107(6):1744-51. doi: 10.1378/chest.107.6.1744.
We conducted a review of all the bronchoscopies performed at our institutions for benign tumors from 1980 to 1991 to determine the endoscopic characteristics of these lesions. We reviewed the charts, the endoscopic characteristics from our video records, and finally the pathologic findings of these cases. We tried to identify the effectiveness of laser resections in each group. Of a total of 3,937 patients, 185 (4.7%) were benign tumors. On these patients, 317 procedures were carried out. There were 3 myoblastomas, 53 papillomas, 1 adenoma, 8 chondromas, 4 fibromas, 45 hamartomas, 15 hamartochondromas, 6 lipomas, 19 angiomas, 5 leiomyomas, 4 schwannomas, 1 neurofibroma, and 21 amyloidomas. Results of laser resection were "very good" in 115 (62%) and "good" in 70 (38%). Complications were minimal: two mediastinal emphysemas, one pneumothorax, and one anesthesia-related cardiac arrest leading to the single death in this series. In general, benign tumors of the proximal endobronchial tree responded well to laser resection when their endoscopic appearance is recognized and prognosis known. Even when recurrent, repeated procedures can be performed easily with good results. This series is probably the largest in the world's literature about endoscopic recognition and the role of laser resection in patients presenting with benign endobronchial tumors.
我们回顾了1980年至1991年在我们机构进行的所有针对良性肿瘤的支气管镜检查，以确定这些病变的内镜特征。我们查阅了病历、视频记录中的内镜特征，最后查看了这些病例的病理结果。我们试图确定每组中激光切除术的有效性。在总共3937例患者中，185例（4.7%）为良性肿瘤。对这些患者进行了317次手术。其中有3例成肌细胞瘤、53例乳头状瘤、1例腺瘤、8例软骨瘤、4例纤维瘤、45例错构瘤、15例错构软骨瘤、6例脂肪瘤、19例血管瘤、5例平滑肌瘤、4例神经鞘瘤、1例神经纤维瘤和21例淀粉样瘤。激光切除的结果为“非常好”的有115例（62%），“好”的有70例（38%）。并发症极少：2例纵隔气肿、1例气胸和1例与麻醉相关的心脏骤停，导致该系列中唯一1例死亡。总体而言，当近端支气管树的良性肿瘤的内镜表现被识别且预后已知时，对激光切除反应良好。即使复发，也可轻松进行重复手术且效果良好。该系列可能是世界文献中关于内镜识别及激光切除术在支气管内良性肿瘤患者中的作用的最大系列研究。
