Hemoptysis caused by an endobronchial lipoma

An endobronchial lipoma mimicking asthma and malignancy

“…4,5 Aggressive surgical resection may be required if it is difficult to exclude malignancy, if the presence of extra-bronchial growth or subpleural lipomatous disease is noted, if evident peripheral irreversible lung parenchymal changes are noted, or if technical difficulties during bronchoscopic resection are expected. 6 In conclusion, clinicians should be aware of this rare entity that can clinically mimic other common pulmonary pathology. Early resection may avert significant morbidity due to distal lung parenchymal damage.…”

Endoscopic Management of a Symptomatic Endobronchial Lipoma

“…The tumors are commonly found in the central airways, in lobar or segmental bronchi of the endobronchial tree. Endobronchial lipomas are also more commonly seen in the right lung, with almost two thirds of the tumors occurring in this location [2,3,4]. These tumors are easily detected during bronchoscopy, with only small percentage being in the periphery of the lung.…”

“…They postulated that the haemoptysis is likely to have been related to distal lung disease rather than directly to the tumour in the majority of patients [4]. Although no direct causative factors have been identified, smoking and obesity are significant risk factor for developing endobronchial lipoma [1,2,3]. The index patient had a strong history of smoking and this could have been a major predisposing factor for the development of his condition.…”

“…The most commonly utilized method is to resect these tumors (either piecemeal or completely in case of a pedunculated growth) using the electrocautery snare, as the case was with the index patient. The resected tumour can then be extracted using a dormia basket forceps or biopsy forceps [3]. The resection can also be done with the use of the rigid bronchoscope.…”

Catch me if you can - Das endobronchiale Lipom

“…nie und gelegentlich auch Bronchiektasenbildung [5]. Die poststenotische Pneumonie bestimmt das klinische Erscheinungsbild aus trockenem oder produktivem Husten, Thoraxschmerzen, Luftnot und Fieber.…”