A Case of COPD with Left Endobronchial Hamartoma by Bronchoscopic Intervention

Abstract

Objective: Exploration for chronic obstructive pulmonary disease with branched air lumen hamartoma by bronchoscoptic treatment. Material and Method: An old man was referred to our hospital with shortness of breath for many years. Clinical evidence emphysema on respiratory examination, lung function and chest X-ray gave rise to concern. He was diagnosed as COPD and treated with ICS + LABA. But the shortness of breath is still existed. Initial assessment by CT suggested a left lower lobe collapse. Then bronchoscope identified a solid abnormality in main left bronchus. The pathology showed a benign neoplasm. Because of intolerance of operation, the patient was treated by brochoscopic intervention. The endoscopic intervention included resection by electrosurgical snare, electrocautery, argon plasma coagulation (APC). Result: After intervention, the neoplasm was partly removed and the pathological result was endobrochial hematoma. After treatment, the patient's panting had taken a turn for the better. After one month later, the patient's lung function improved a lot. Conclusion: In conclusion, endobronchial hamartomas are one of benign neoplasms. It can cause persistent bronchial obstruction and recurrent pneumonias. In this case, invasive endoscopic treatment provides an excellent outcome.

A rare cause of bronchial obstruction: Endobronchial hamartoma case report

“…Thanks to advancements in bronchoscopy, the gold standard for treatment has become rigid bronchoscopy with laser therapy, as it provides an excellent outcome. Cryotherapy and endobronchial laser resection are particularly useful for individuals who are not good candidates for surgery or who will not consent to surgery [ 2 , 17 , 18 ].…”

“…The features of each patient and each hamartoma, including the lesion's size, activity level, and hardness, must be taken into account while determining the appropriate course of treatment [ 2 ]. We report a surgically removed endobronchial hamartoma.…”

“…These are various methods of successful resection of endobronchial hamartomas. The 2 most popular and successful techniques are endoscopic and surgical resection [ 1 , 2 , 15 , 16 ]. Other techniques that may be employed include cryotherapy, laser resection, electrocautery snare, argon plasma coagulation, or a combination of these techniques [ 2 , 17 , 18 ].…”