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Sharma S, Ulicny J, Thuzar M, Aguiar RS, Sharkey S, Zhang F, Chambers D, Malek AE. Epstein-Barr Virus-Associated Pulmonary Leiomyoma in a Patient With Untreated Human Immunodeficiency Virus Infection. Open Forum Infect Dis 2023; 10:ofad492. [PMID: 37829442 PMCID: PMC10566238 DOI: 10.1093/ofid/ofad492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 09/29/2023] [Indexed: 10/14/2023] Open
Abstract
We report an Epstein-Barr virus-associated smooth muscle tumor in an adult male with AIDS. The patient had multiple lung nodules seen on computed tomography of the chest and an endobronchial lung tumor identified on bronchoscopy. Initiation of antiretroviral therapy slowed the progression of the tumors.
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Affiliation(s)
- Shivani Sharma
- Department of Internal Medicine, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Joseph Ulicny
- Department of Internal Medicine, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Moe Thuzar
- Department of Pathology, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Roberto Silva Aguiar
- Department of Pathology, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Sarah Sharkey
- Department of Pulmonary and Critical Care, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Frank Zhang
- Department of Pulmonary and Critical Care, Louisiana State University Health, Shreveport, Louisiana, USA
| | - David Chambers
- Department of Pulmonary and Critical Care, Louisiana State University Health, Shreveport, Louisiana, USA
| | - Alexandre E Malek
- Division of Infectious Disease, Department of Internal Medicine, Louisiana State University Health, Shreveport, Louisiana, USA
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2
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Siti Kaamilah MZ, Wong YS, Bushra J, Nik Ahmad Fadhil NM, Aisya Natasya M. A hint for abnormal thoracic shadow: look behind the heart. Breathe (Sheff) 2023; 19:230052. [PMID: 37719237 PMCID: PMC10501713 DOI: 10.1183/20734735.0052-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 06/20/2023] [Indexed: 09/19/2023] Open
Abstract
Can you diagnose this woman with a history of uterine fibroids in the previous year and a recent finding of intrathoracic mass on chest radiography? https://bit.ly/44mQ9Jj.
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Affiliation(s)
| | - Yen Shen Wong
- Faculty of Medicine, University Teknologi MARA (UiTM) Sg Buloh, Selangor, Malaysia
| | - Johari Bushra
- Department of Radiology, Faculty of Medicine, University Teknologi MARA (UiTM) Sg Buloh, Selangor, Malaysia
| | | | - Musa Aisya Natasya
- Faculty of Medicine, University Teknologi MARA (UiTM) Sg Buloh, Selangor, Malaysia
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3
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Arbat SA, Arbat AP, Bakamwar SI, Deshpande PS, Chourasia SR. Rare case of bronchoscopic debulking of endobronchial leiomyoma. Indian J Tuberc 2020; 67:414-416. [PMID: 32825883 DOI: 10.1016/j.ijtb.2020.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 02/25/2020] [Indexed: 10/24/2022]
Abstract
An endobronchial leiomyoma is a rare benign tumour of lung. It occurs from the smooth muscle of tracheobronchial tree or within lung parenchyma. It presents less than 2% of all benign lung tumours. We present a case report of a 39-year-old male, ex-smoker, with no family history of malignancies, presenting with cough and dyspnoea for 7 months with no symptomatic relief. CAT scan thorax showed well-defined oblong soft tissue mass lesion 24.2 mm × 15.4 mm in right major bronchus compromising central lumen. Flexible bronchoscopy revealed an endobronchial mass at right major bronchus. Patient underwent rigid bronchoscopy with endobronchial mass excision with an electrocautery snare and cryoprobe in the same seating. Complete debulking of tumour was achieved and histopathology report was suggestive of leiomyoma. Prompt investigations and intervention can give favourable outcomes in cases of endobronchial tumours.
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Affiliation(s)
- Sameer A Arbat
- Pulmonary Department, Ketki Research Institute of Medical Sciences, Nagpur, India.
| | - Ashok P Arbat
- Pulmonary Department, Ketki Research Institute of Medical Sciences, Nagpur, India
| | - Swapnil I Bakamwar
- Pulmonary Department, Ketki Research Institute of Medical Sciences, Nagpur, India
| | - Parimal S Deshpande
- Pulmonary Department, Ketki Research Institute of Medical Sciences, Nagpur, India
| | - Sweta R Chourasia
- Pulmonary Department, Ketki Research Institute of Medical Sciences, Nagpur, India
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4
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Idrees F, Fatimi SH, Pervez S. Young man with dyspnoea for 6 months; presenting with subacute tracheal obstruction due to leiomyoma. BMJ Case Rep 2016; 2016:bcr-2016-216096. [PMID: 27587746 DOI: 10.1136/bcr-2016-216096] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Tracheal leiomyoma is a rare benign tumour with less than a 100 cases reported in the literature. We report a case of leiomyoma initially presenting and being treated as asthma until it lead to life-threatening tracheal obstruction, requiring immediate surgical intervention.
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Affiliation(s)
- Farah Idrees
- Department of Pulmonary and Critical Care Medicine, Aga Khan University, Karachi, Sindh, Pakistan
| | | | - Shahid Pervez
- Department of Pathology, Aga Khan University Hospital Karachi, Karachi, Sindh, Pakistan
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5
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Wu P, Venkatachalam J, Lee VKM, Tan SK. Primary pulmonary leiomyoma. Respirol Case Rep 2016; 4:e00153. [PMID: 27516882 PMCID: PMC4968660 DOI: 10.1002/rcr2.153] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 02/16/2016] [Accepted: 02/18/2016] [Indexed: 11/30/2022] Open
Abstract
Leiomyoma is a smooth muscle neoplasm that commonly occurs in the genitourinary system and the gastrointestinal tract of the body. Primary pulmonary leiomyoma is rarely reported in literature. We report a rare case of primary pulmonary leiomyoma of a 55‐year‐old male patient presenting with symptoms of cough for six months.
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Affiliation(s)
- Peng Wu
- Department of Respiratory and Critical Care Medicine Khoo Teck Puat Hospital Singapore
| | | | | | - Sze Khen Tan
- Department of Respiratory and Critical Care Medicine Khoo Teck Puat Hospital Singapore
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6
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Kitada M, Yasuda S, Ishibashi K, Hayashi S, Matuda Y, Ohsaki Y, Miyokawa N. Leiomyoma of the Trachea: a case report. J Cardiothorac Surg 2015; 10:78. [PMID: 26026331 PMCID: PMC4459451 DOI: 10.1186/s13019-015-0283-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2014] [Accepted: 05/28/2015] [Indexed: 11/10/2022] Open
Abstract
We present a surgical case of a rare primary tracheal tumor. In a 44-year-old asymptomatic man, computed tomography (CT), performed as part of health check-up, revealed a tumor measuring 1.5 cm in diameter in the mediastinal trachea. Biopsy failed to yield a definitive diagnosis, but the tumor tended to grow rapidly; therefore, surgery was performed. Five tracheal rings were resected through median sternotomy, followed by interrupted suture with 3-0 absorbable thread. The postoperative course has been favorable with no evidence of recurrence. The pathological diagnosis was leiomyoma. We report this case with literature review.
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Affiliation(s)
- Masahiro Kitada
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Shunsuke Yasuda
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Kei Ishibashi
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Satoshi Hayashi
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Yoshinari Matuda
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Yoshinobu Ohsaki
- Department of Respiratory Center, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
| | - Naoyuki Miyokawa
- Department of Clinical Pathology, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Japan.
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7
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Abstract
A 44 year old male former smoker from Ecuador presented with productive cough for 3 weeks, positive tuberculin skin test, 40 lbs weight loss and right lower lobe collapse. He denied wheezing or hemoptysis. He was treated with antibiotics and ruled out for tuberculosis with negative sputum smear. Bronchoscopy showed an endobronchial lesion at the distal end of bronchus intermedius as cause of the collapse. Endobronchial biopsy of the lesion revealed an endobronchial leiomyoma, a rare cause of endobronchial tumor. The patient underwent bilobectomy as definite therapy for the leiomyoma due to its large size and possible extra-luminal extension, which made it not amenable to bronchoscopic resection or bronchoplasty. Differential diagnoses of endobronchial lesions are discussed along with clinical, radiographic, pathologic characteristics and various treatment modalities for endobronchial leiomyomas.
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8
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Gupta P, Aggarwal R, Rijal P, Chugh K. Endobronchial leiomyoma in an immunocompetent four-year-old female child. Asian Cardiovasc Thorac Ann 2014; 22:356-8. [PMID: 24585919 DOI: 10.1177/0218492313478628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Pulmonary leiomyoma are uncommonly encountered benign mesenchymal neoplasms in children, usually found in immunosuppressed individuals in association with human immunodeficiency virus or Ebstein-Barr virus infection. We describe an interesting case of a 4-year-old immunocompetent girl who presented with pleural effusion and lung collapse secondary to endobronchial leiomyoma. She underwent a left thoracotomy and a left pneumonectomy for excision of the bronchial mass.
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Affiliation(s)
- Pallav Gupta
- Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India
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9
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Kaseda K, Anraku M, Goto T, Ohtsuka T, Kohno M, Izumi Y, Hayashi Y, Nomori H. Successful surgical resection of leiomyoma obstructing the trachea. Gen Thorac Cardiovasc Surg 2012; 61:476-8. [PMID: 22936359 DOI: 10.1007/s11748-012-0147-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2012] [Accepted: 08/17/2012] [Indexed: 11/29/2022]
Abstract
We report a case of 51-year-old woman with a severely airway-obstructing leiomyoma who underwent successful tracheal resection. A preoperative tumor biopsy was avoided not to cause any risk of suffocation. At surgery, an endotracheal intubation distal to the tumor was achieved with a bronchoscopic guidance. A segmental resection of the trachea with a primary end-to-end anastomosis was performed via a half-splitting median sternotomy. Negative surgical margins for tumor were confirmed intraoperatively. Final pathological diagnosis was a primary tracheal leiomyoma. Definitive surgical resection is a treatment of choice for such airway-obstructing, wide-based leiomyoma. Although a bronchoscopic removal of the tumor is an alternative choice, the risks of suffocation, positive surgical margins, and perforation of the trachea need to be carefully discussed if it is considered.
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Affiliation(s)
- Kaoru Kaseda
- Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, Tokyo 160-8582, Japan.
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10
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Park JS, Lee M, Kim HK, Choi YS, Kim K, Kim J, Kim H, Shim YM. Primary leiomyoma of the trachea, bronchus, and pulmonary parenchyma--a single-institutional experience. Eur J Cardiothorac Surg 2012; 41:41-5. [PMID: 21767960 DOI: 10.1016/j.ejcts.2011.03.051] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Primary leiomyoma of the respiratory tract is a rare disease. Based on our experience, we investigated its clinical characteristics and outcomes of treatment. METHODS Between 1997 and 2008, 16 patients in our institution (nine male, seven female) were found to have primary leiomyoma of the respiratory tract. The median patient age was 46.5 years (range 17-66 years). The tumor was located in the trachea in four patients, in the carina and main bronchus in four, in the bronchus intermedius in four, in the lobar or segmental bronchus in two, and in the lung parenchyma in two. RESULTS Tumor removal through bronchoscopic intervention using Nd-YAG (neodymium-yttrium-aluminum-garnet) laser cauterization was attempted in 11 patients; it failed in two with wide-based tumors. Surgical resection was performed in seven patients. Operative procedures included tracheal resection and end-to-end anastomosis (n=3), lobectomy (n=3), and bilobectomy (n=1). There were no in-hospital mortalities. During a median follow-up duration of 43.2 months, one patient who underwent bronchoscopic removal had recurrence, for which segmental resection of the trachea and main bronchus with carinal reconstruction was performed. CONCLUSIONS Bronchoscopic intervention can offer successful control of primary leiomyoma of the main airway stem; however, in cases of a wide-based tumor, bronchoscopic intervention can result in incomplete resection or recurrence. Surgical complete resection can yield satisfactory outcomes in patients with primary leiomyoma occurring in the respiratory tract.
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Affiliation(s)
- Joon Suk Park
- Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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Wahla AS, Khan I, Bellinger C, Haponik E, Conforti JF. Use of microdebrider bronchoscopy for the treatment of endobronchial leiomyoma. CLINICAL RESPIRATORY JOURNAL 2010; 5:e4-7. [PMID: 21410897 DOI: 10.1111/j.1752-699x.2010.00230.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS Pulmonary leiomyomas are rare benign tumors that may cause symptoms when they spread endobronchially. Traditionally they were managed surgically or through interventional bronchoscopy with the aid of thermal modalities to assist in debulking of tumor. We report the novel use of microdebrider bronchoscopy to debulk an endobronchial leiomyoma in a symptomatic patient. METHOD/RESULTS The microdebrider successfully débrided the endobronchial leiomyoma. CONCLUSION This modality can be successfully employed when oxygenation is an issue, preventing use of thermal modalities. In addition, use of microdebrider not only reduced procedure time but also decreased the risk of airway fire and damage to adjacent normal tissue in our patient.
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Affiliation(s)
- Ali Saeed Wahla
- Division of Pulmonary and Critical Care Medicine, Wake Forest University Baptist Medical Center, Winston Salem, NC, USA
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12
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Bartosik W, Crowther S, Narski M, Fabre A. Video-assisted lobectomy for endobronchial leiomyoma. Interact Cardiovasc Thorac Surg 2010; 12:313-5. [PMID: 21123193 DOI: 10.1510/icvts.2010.255851] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Endobronchial leiomyomas are rare tumours arising from the smooth muscle on the bronchial tree. We describe a patient with a six-month history of chest infections, who was treated surgically with a video-assisted thoracic surgery (VATS) lobectomy. The pathology revealed an endobronchial leiomyoma that coexisted with postobstructive pulmonary non-necrotising granulomas.
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Affiliation(s)
- Waldemar Bartosik
- Department of Thoracic Surgery, Saint Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
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13
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Caso clínico 2. REVISTA PORTUGUESA DE PNEUMOLOGIA 2010. [DOI: 10.1016/s0873-2159(15)31258-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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14
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Kwon YS, Kim H, Koh WJ, Suh GY, Chung MP, Kwon OJ, Han J. Clinical characteristics and efficacy of bronchoscopic intervention for tracheobronchial leiomyoma. Respirology 2009; 13:908-12. [PMID: 18811890 DOI: 10.1111/j.1440-1843.2008.01366.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVE This study reports the clinical characteristics, efficacy and safety of bronchoscopic treatment of patients with tracheobronchial leiomyoma. METHODS A retrospective study of 10 patients with tracheobronchial leiomyoma who underwent bronchoscopic intervention between 2000 and 2007 at a single centre, documenting the clinical characteristics, treatment method and outcomes. RESULTS Seven men and three women were studied. The median age at diagnosis was 47 years (range 17-66). The most frequent symptoms were cough (n = 5) and dyspnoea (n = 4). The lesions were in the trachea in two patients, the right bronchi in six, and the left bronchi in two. On chest CT, the most frequent findings were a tracheobronchial mass without parenchymal lesion (n = 7). The tumours were removed by neodymium-yttrium-aluminum-garnet laser treatment by rigid bronchoscopy under general anaesthesia (n = 9) and with flexible bronchoscopy under local (n = 1) anaesthesia. Two patients eventually underwent surgical resection because of late tumour recurrence at 16 months, after the bronchoscopic intervention, in one patient, and incomplete removal by bronchoscopic intervention in another patient. In eight of ten patients who were successfully treated by the bronchoscopic intervention, the clinical outcome was good during the median follow-up period of 24.5 months. There were no procedure-related mortalities or late complications. CONCLUSIONS Patients with a tracheobronchial leiomyoma usually present with non-specific respiratory symptoms and an endobronchial mass without parenchymal lesions. Bronchoscopic intervention is a safe and effective technique for the treatment of patients with a tracheobronchial leiomyoma.
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Affiliation(s)
- Yong Soo Kwon
- Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea
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15
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16
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Ko SM, Han SB, Lee SK, Woo SK, Kim MJ, Keum DY, Kang YN. Calcified endobronchial leiomyoma. Br J Radiol 2007; 80:e91-3. [PMID: 17638838 DOI: 10.1259/bjr/25631438] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We report a case of calcified endobronchial leiomyoma in the left main bronchus. Leiomyoma of the airways is a rare benign tumour, usually described as a solitary lesion and located in the membranous portion of the lower third of the trachea and rarely in the bronchi. Chest CT showed a well-defined, calcified, polypoid endobronchial mass with a broad stalk in the left main bronchus.
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Affiliation(s)
- S M Ko
- Department of Radiology, Keimyung University College of Medicine, 194 Dongsan-dong, Jung-gu, Daegu 700-712, Korea.
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17
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Choi JC, Yu CM, Ryu YJ, Jeon K, Choi KA, Kwon OJ, Kim H. The role of endoscopic surgery for completely obstructive endobronchial benign tumor. Korean J Intern Med 2006; 21:15-9. [PMID: 16646559 PMCID: PMC3891058 DOI: 10.3904/kjim.2006.21.1.15] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND The improving techniques of therapeutic bronchoscopy have been replacing conventional surgery for resecting endobronchial benign tumor. However, there could be some limitation for performing bronchoscopic intervention for the patients with complete bronchial obstruction. To evaluate the role of endoscopic surgery for completely obstructive endobronchial benign tumor, we retrospectively reviewed the medical records of 7 patients who underwent bronchoscopic resection due to completely obstructive benign tumor. METHODS Rigid bronchoscopy was performed under general anesthesia. After the stalk of tumor was identified with using a 1 mm biopsy forceps as a probe, a Nd-YAG laser was used to coagulate the stalk of tumor. The tumor was then removed. RESULTS Bronchoscopic resection was successful in 6 out of 7 patients. The histological diagnoses were 3 leiomyomas, 3 harmatomas and 1 lipoma. There was no mortality in our study. Pneumomediastinum developed in 1 patient, and this patient was treated with 3 days of oxygen therapy. In 5 out of the 6 successful patients, there was no recurrence for a median of 35 months. In 1 patient, leiomyoma recurred after 17 months, and this was treated by pneumonectomy. CONCLUSIONS Endoscopic surgery could be applied to the patients with completely obstructive endobronchial benign tumor.
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Affiliation(s)
- Jae-Chol Choi
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Chang Min Yu
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Yon Ju Ryu
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Kyeongman Jeon
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Kyoung A Choi
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - O Jung Kwon
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Hojoong Kim
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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Shim HJ, Lim JH, Lee S, Kim DH, Park KJ, Lee SR, Jeong JP, Son JG, Kim SO, Oh IJ, Kim KS, Kim YI, Lim SC, Kim YC, Kim SM, Na KJ. Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma. Tuberc Respir Dis (Seoul) 2006. [DOI: 10.4046/trd.2006.61.5.490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Hyun Jeong Shim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Jung-Hwan Lim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Seok Lee
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Dae Hyun Kim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Kang Jin Park
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Se Ryeon Lee
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Jong-Pil Jeong
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Jun-Gwang Son
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Soo-Ok Kim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - In-Jae Oh
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Kyu-Sik Kim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Yu-Il Kim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Sung-Chul Lim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Young-Chul Kim
- Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Seok-Mo Kim
- Department of Obstetrics and Gynecology, School of Medicine, Chonnam National University, Gwangju, Korea
| | - Kook-Joo Na
- Department of Thoracic and Cardiovascular Surgery, School of Medicine, Chonnam National University, Gwangju, Korea
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Jung BY, Kim DH, Park ES, Han SH, Kim YT, Oh MH, Lee SY, Choi JS, Na JO, Seo KH, Kim YH. 1 Case of Bronchial Leiomyoma with Intralobar Pulmonary Sequestration. Tuberc Respir Dis (Seoul) 2006. [DOI: 10.4046/trd.2006.60.6.678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Bo Yong Jung
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Do Hwan Kim
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Eun Seo Park
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Seung Hoe Han
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Young Tong Kim
- Department of Radiology, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Mi Hye Oh
- Department of Diagnostic Pathology, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Seok Yul Lee
- Department of Thoracic Surgery, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Jae Sung Choi
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Joo Ock Na
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Ki Hyun Seo
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
| | - Yong Hoon Kim
- Department of Internal Medicine, University of Soonchunhyang college of Medicine, Cheonan, Korea
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Lee HK, Lee JH, Kim SH, Kim TH, Sohn JW, Yoon HJ, Shin DH, Park SS, Min KW, Paik SS, Kang JH. A Case of Primary Endobronchial Leiomyoma. Tuberc Respir Dis (Seoul) 2006. [DOI: 10.4046/trd.2006.61.3.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Hee Kyung Lee
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Jae Hyung Lee
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Sang Heon Kim
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Tae Hyung Kim
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Jang Won Sohn
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Ho Joo Yoon
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Dong Ho Shin
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Sung Soo Park
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Kyueng Whan Min
- Division of Pulmonology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Seung Sam Paik
- Department of Pathology, College of Medicine, Hanyang University, Seoul, Korea
| | - Jung Ho Kang
- Department of Thoracic Surgery, College of Medicine, Hanyang University, Seoul, Korea
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Yoon YC, Lee KS, Kim TS, Seo JB, Han J. Benign bronchopulmonary tumors: radiologic and pathologic findings. J Comput Assist Tomogr 2002; 26:784-96. [PMID: 12439315 DOI: 10.1097/00004728-200209000-00020] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
According to the new World Health Organization classification, benign bronchopulmonary tumors can be classified into epithelial tumors, mesenchymal tumors, and tumor-like conditions. Imaging findings of benign tumors of large airways are nonspecific and overlapping. Some benign pulmonary tumors show characteristic imaging findings. On CT, bronchioloalveolar adenomas appear as a small nodular area of ground-glass opacity. Metastasizing leiomyomas are seen as well-circumscribed solitary or multiple pulmonary nodules ranging in size from a few millimeters to several centimeters. Pulmonary hamartomas or lipomas are recognized specifically when fat deposits of CT number in the -80 HU to -120 HU range are identified. Enhancement of tumor with administration of contrast medium with or without foci of calcification may be seen in sclerosing hemangiomas and hemangiopericytomas. Awareness of the various imaging findings of these tumors can help narrow down the differential diagnosis on daily practice among the long lists of bronchopulmonary tumors.
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Affiliation(s)
- Young Cheol Yoon
- Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710, Korea
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