Endobronchial Lipoma: Case Report and Literature Review

Griffeth, Elaine M.; Whitson, B.A.; Huard, David; Brown, Brent

doi:10.1016/j.amjms.2020.07.010

Cited by 4 publications

(8 citation statements)

References 48 publications

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“…They have an incidence of 0.1 to 0.5% of all lung tumors. 1,33 Though benign, it can cause bronchial obstruction and subsequent complications, such as early-onset dyspnea and wheezing. Unfortunately, their ultimate diagnosis can be easily overlooked, as providers may initially investigate the diagnosis of other more common obstructive pathologies (i.e., COPD, asthma).…”

Section: Discussionmentioning

confidence: 99%

“…Among cases analyzed since 2010, according to one review, seventy three percent of endobronchial lipomas were resected bronchoscopically. 1 Methods of bronchoscopic resection include cryotherapy, laser, electrosurgery, and mechanical debulking. 1,3 According to case reports by Huisman et al, 34 electrocautery can also be used as an effective treatment.…”

Section: Discussionmentioning

confidence: 99%

“…1 Methods of bronchoscopic resection include cryotherapy, laser, electrosurgery, and mechanical debulking. 1,3 According to case reports by Huisman et al, 34 electrocautery can also be used as an effective treatment.…”

Section: Discussionmentioning

confidence: 99%

“…They can mimic chronic o b s t r u c t i v e p u l m o n a r y d i s e a s e ( C O P D ) o r asthma. 1 Diagnosis is made by imaging studies, mainly computed tomography scan (CT scan), and then confirmed by a biopsy. Early diagnosis is essential to prevent possible bronchial obstruction or further complications.…”

Section: Introductionmentioning

confidence: 99%

“…Bronchoscopic resection has now become the preferred mode of treatment versus surgical intervention. 1…”

Section: Introductionmentioning

confidence: 99%

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Endobronchial lipoma

et al. 2022

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Endobronchial lipomas are rare benign lung tumors that can cause bronchial obstruction and parenchymal damage. While an uncommon etiology, they are often misdiagnosed due to a clinical presentation similar to obstructive pulmonary pathologies such as COPD and asthma. Upon review of English-language literature, under 50 cases of endobronchial lipomas were documented in the prior 10 years (2011-2021). There are no clear guidelines regarding the management of this particular entity, but typically interventional debulking is the treatment of choice. Here we present another unique case of endobronchial lipoma along with our diagnostic and therapeutic methodology. The patient underwent bronchoscopic debulking via a cryotherapy probe. Based on the histopathologic analysis, a diagnosis of endobronchial lipoma was made. Endobronchial lipomas must remain in any clinician's differential when a patient presents with dyspnea. We report the unique location of this lipoma based on our literature review and the importance of investigating endobronchial lesions due to a possible diagnosis of endobronchial lipoma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Bronchoscopic resection has now become the preferred mode of treatment versus surgical intervention. 1…”

Section: Introductionmentioning

confidence: 99%

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Endobronchial lipoma

et al. 2022

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Endobronchial Lipoma: A Rare Cause of Bronchial Stenosis or Obstruction

Chen,

Xin,

Pan

et al. 2023

Canadian Respiratory Journal

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Endobronchial lipoma (EL) is a rare benign tumor characterized by tracheobronchial smooth-surfaced mass, often resulting in bronchial obstruction without standard guidelines for management. This study seeks to clarify the clinical features and interventions of EL, aiming to improve its diagnosis and outcomes. A retrospective review was conducted on 28516 outpatients treated between January 2015 and December 2019 at the Department of Respiratory and Critical Care Medicine of the Second Affiliated Hospital of Air Force Medical University to collect patients diagnosed with EL. Their clinical, bronchoscopic, chest imaging, and histopathological features along with management were analyzed. Among the patients reviewed, nine were histopathologically diagnosed with EL, comprising seven males and two females. All EL patients exhibited noticeable symptoms, including cough (in eight patients), dyspnea (in six patients), fever (in three patients), expectoration (in two patients), chest pain (in two patients), hemoptysis (in one patient), and fatigue (in one patient). Chest CT abnormalities included endobronchial mass (in four patients), inflammatory exudation (in three patients), atelectasis (in three patients), and infiltration or consolidation (in two patients). In three patients, imaging showed fat density, directly leading to the diagnosis of EL. The EL lesions were distributed with six in the right lung and three in the left lung, all located within the first three subdivisions of the tracheobronchial tree. Treatment approaches varied, with one patient undergoing combined bronchoscopic resection and surgery. The remaining patients received bronchoscopic intervention such as electrosurgical snare resection, argon plasma coagulation (APC), cryotherapy, and holmium laser. Histopathological analysis confirmed the EL diagnosis. Finally, the mass removal restored bronchus patency. Taken together, EL symptoms lack specificity, necessitating reliance on histopathology for EL accurate diagnosis. Bronchoscopic interventions emerge as the preferred option for EL management, surpassing surgical approaches.

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Fibroangiolipoma of palatine tonsil: A case report and literature review

Chen

Yin

et al. 2022

Ear Nose Throat J

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Lipomas of the palatine tonsil are rare benign neoplasms in clinical practice. We present a case of palatine tonsillar fibroangiolipoma in a 50-year-old Chinese male with a history of multiple lipomas on the back and extremities. It was diagnosed based on histological examination and integrated analysis. Good wound healing and no evidence of recurrence were noted within 6 months follow-up after tonsillectomy. This article also puts a spotlight on the differential diagnosis of benign tonsillar tumors and reviewed recent relevant literature.

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Endobronchial Lipoma: Case Report and Literature Review

Cited by 4 publications

References 48 publications

Endobronchial lipoma

Endobronchial lipoma

Endobronchial Lipoma: A Rare Cause of Bronchial Stenosis or Obstruction

Fibroangiolipoma of palatine tonsil: A case report and literature review

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