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Giant endobronchial hamartoma resected by fiberoptic bronchoscopy electrosurgical snaring

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Author(s): Mondello Baldassare | Lentini Salvatore | Buda Carmelo | Monaco Francesco | Familiari Dario | Sibilio Michele | La Rocca Annunziata | Barresi Pietro | Cavallari Vittorio | Monaco Maurizio | Barone Mario

Journal: Journal of Cardiothoracic Surgery
ISSN 1749-8090

Volume: 6;
Issue: 1;
Start page: 97;
Date: 2011;
Original page

Keywords: tumor (lung) | Pathology (lung) | Hamartoma | Lung cancer | Imaging

ABSTRACT
Abstract Less than 1% of lung neoplasms are represented by benign tumors. Among these, hamartomas are the most common with an incidence between 0.025% and 0.32%. In relation to the localization, hamartomas are divided into intraparenchymal and endobronchial. Clinical manifestation of an endobronchial hamartoma (EH) results from tracheobronchial obstruction or bleeding. Usually, EH localizes in large diameter bronchus. Endoscopic removal is usually recommended. Bronchotomy or parenchimal resection through thoracotomy should be reserved only for cases where the hamatoma cannot be approached through endoscopy, or when irreversible lung functional impairment occurred after prolonged airflow obstruction. Generally, when endoscopic approach is used, this is through rigid bronchoscopy, laser photocoagulation or mechanical resection. Here we present a giant EH occasionally diagnosed and treated by fiberoptic bronchoscopy electrosurgical snaring.
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