Laser resection of endobronchial hamartoma via fiberoptic bronchoscopy

Abstract

Endobronchial hamartoma is a rare benign tumor of lung that may present with symptoms of airway obstruction with wheezing, stridor, recurrent pneumonia or atelectasis. We report a case of a patient with endobronchial hamartoma, recurrent pneumonia, who presented to us with sputum smear and culture positive pulmonary tuberculosis. He was treated with antitubercular treatment and endobronchial hamartoma was resected completely by diode laser through fiberoptic bronchoscope.

Incidental endobronchial hamartoma in a patient with enchondroma

“…Laser treatment through rigid bronchoscopy or electrocautery with APC through flexible bronchoscopy are the most common endoscopic methods that are used to treat 17 18. In patients whose lung collapse has occurred for almost 4–6 weeks, the chances of getting complications like fibrosis or bronchiectasis are high and these patients would benefit from surgical resection 19. In patients with recurrent pneumonia, lobectomy may be indicated if bronchoscopic intervention is unfeasible 20.…”

Conversion to thoracotomy during VATS segmentectomy for treatment of symptomatic endobronchial hamartoma

“…For the bronchoplastic procedures, however, it is needed to follow some principles: tumor confined within the bronchial cartilage; small basis of implant of the lesion and normal bronchial tree at its periphery [ [9] , [10] , [11] ]. Although many reports suggest that bronchoscopic treatments or parenchyma-sparing procedures are a good therapeutic choice for EHs, in some instances, as chronic post-obstructive lung injury or extension of tumor outside the cartilage, a more invasive surgical resection is recommended [ [12] , [13] , [14] ]. In these cases, segmental resection, pulmonary lobectomy or even pneumonectomy have been reported in the literature [ 3 , 13 ].…”

Pulmonary Hamartomas: A Report of 13 Parenchymal and Endobronchial Cases

“…Only the tumors located deeply in the parenchyma or endobronchial lesions necessitate more extensive procedures such as lobectomy or pneumonectomy (3,5). Bronchoscopic procedures such as rigid forceps, laser resection, cryotherapy, and snaring are safe and effective therapeutic options for selected patients with endobronchial hamartoma (4,(13)(14)(15). In our experience, three of four endobronchal hamartomas were treated via bronchoscopic procedures.…”

“…Even with the advances in medical therapy, bronchoscopic interventions and surgical methods currently remain the most important treatment modalities in patients with pulmonary hamartoma (3,4,7,8,(13)(14)(15). However, indication and timing of surgery are still controversial.…”