Bronchoscopic resection of bronchial angiolipoma: A rare case report

Wu, Zhiqiang; Wan, Hongli; Shi, Min; Li, Ming; Wang, Zhanpeng; Yang, Caixia; Gao, Wei; Li, Qingxin

doi:10.3892/mco.2016.1069

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…The most common sites of angiolipoma occurrence include the upper and lower limbs, abdomen, precordium, and back. In contrast, the occurrence of angiolipoma in the lung is extremely rare, and only two cases have been reported to date [1, 2]. Similar to the present case, the tumor developed in the right bronchus intermedius in one of these cases.…”

Section: Discussionsupporting

confidence: 76%

“…Similar to the present case, the tumor developed in the right bronchus intermedius in one of these cases. In the other case, the tumor developed in the bronchus of the right inferior lobe [1, 2]. In each of these cases, angiolipoma developed in the central bronchus and protruded into the airway.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the risk of recurrence, the authors of the former case study recommended surgical resection for patients in whom surgery could be tolerated [1]. In the latter case, the authors preferred a bronchoscopic approach due to the low risk of malignant transformation of this rare, benign tumor [2]. In the present case, the lesion was located in the right bronchus intermedius and was covered with numerous engorged blood vessels.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only two cases of angiolipoma that developed in the lung have been reported [1, 2]. Here, we report a case of angiolipoma of the right bronchus intermedius that was successfully treated with sleeve resection and reconstructive surgery.…”

Section: Introductionmentioning

confidence: 90%

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Bronchial angiolipoma successfully treated by sleeve resection of the right bronchus intermedius: a case report

et al. 2019

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BackgroundAngiolipoma is a rare, benign tumor that primarily develops in the limbs and trunk. The occurrence of angiolipoma in the lungs is extremely rare; to date, only two cases of primary bronchial angiolipoma have been reported. Here, we report a case of angiolipoma of the right bronchus intermedius that was successfully treated with sleeve resection and reconstructive surgery.Case presentationThis report presents a case of angiolipoma that developed in the right bronchus intermedius of a 68-year-old man. A chest CT revealed a 10-mm endobronchial mass that was clearly visible as a high-attenuation area of contrast enhancement. Bronchoscopy revealed a submucosal tumor on the anterior wall of the entrance to the right bronchus intermedius that was constricting the airway lumen. The tumor surface was covered with numerous engorged blood vessels, and the middle and inferior pulmonary lobes were intact. Bronchial sleeve resection of the right bronchus intermedius was performed. Histologically, a mixture of proliferating blood vessels and adipocytes were observed within the bronchus wall. Therefore, the pathological diagnosis was angiolipoma. Lung function was preserved, and complete resection of the tumor was achieved. At present (2 years and 7 months after surgery), the patient is recurrence-free.ConclusionAccordingly, using bronchial sleeve resection and end-to-end anastomosis techniques, we accomplished complete tumor excision and avoided the need to resect additional lung parenchyma. Our procedure preserved pulmonary function and yielded a curative result. Bronchoscopic intervention or minimal parenchymal resection should be considered as treatments for bronchial angiolipoma. Given the small number of reports of bronchial angiolipoma, the collection of additional data is important to elucidate the clinical characteristics of this rare tumor.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%