Tracheal lobular capillary hemangioma treated with laser photocoagulation

Dabó, Hans; Gomes, Rita Fabiane Teixeira; Teixeira, Nélson; Teixeira, Gilberto Vaz; Fernandes, Gabriela; Magalhães, Adriana

doi:10.1590/s1806-37562016000000217

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…Los dos síntomas más comunes del HLC traqueal son tos y hemoptisis, la cual puede variar de menor a mayor grado. 5 Nuestro paciente sufrió de eventos esporádicos La etiología del HLC no se ha definido por completo. Sin embargo, existen postulados que asocian esta patología con cambios hormonales, trauma, infecciones virales o bacterianas, producción de factores angiogénicos y deleciones citogenéticas clonales.…”

Section: Discussionunclassified

“…Sin embargo, existen postulados que asocian esta patología con cambios hormonales, trauma, infecciones virales o bacterianas, producción de factores angiogénicos y deleciones citogenéticas clonales. 6 Al día de hoy no se ha llegado a un consenso del mejor tratamiento del HLC traqueal, pero se han descrito algunas opciones terapéuticas; entre ellas, la broncoscopia flexible o rígida con diferentes modalidades como crioablación, electrocauterización, fotocauterización, [5][6][7][8][9] teniendo excelentes resultados con poca morbilidad. Otra alternativa descrita en un reporte de un caso chino realizado en el 2012 fue la braquiterapia, que pudo ofrecer grandes ventajas al ser un tratamiento localizado.…”

Section: Discussionunclassified

“…[2][3][4] El hemangioma capilar lobular (HCL) es un tumor benigno que se presenta comúnmente en piel y mucosas de la vía aérea superior caracterizado por un crecimiento rápido y una superficie friable. 5 Hasta el momento no se conoce adecuadamente el comportamiento del HCL en esta localización por la poca información disponible. Presentamos el caso de un paciente masculino de 47 años con HLP localizado en tráquea, tratado con resección quirúrgica por toracotomía lateral.…”

Section: Introductionunclassified

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Caso raro de hemoptisis por hemangioma lobular capilar traqueal

Moraga

Celaya

Ortega³

et al. 2019

NCT Neumología Y Cirugía De Tórax

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Este artículo puede ser consultado en versión completa en: www.medigraphic.com/neumologia RESUMEN. Los hemangiomas capilares son tumores benignos que se encuentran normalmente en mucosas y piel. Con rareza estos tumores pueden llegar a ser localizados en tráquea y en la vía aérea central. Presentamos un caso de resección y anastomosis de tráquea intratorácica por hemoptisis recurrente secundario a hemangioma lobular capilar. Paciente masculino de 47 años que fue referido a nuestro centro por hemoptisis recurrente secundaria a tumor endofítico en tráquea distal a 3.5 cm de la carina. Decidimos que el paciente requería un abordaje por toracotomía posterolateral para la resección traqueal basándonos en la localización anatómica del tumor. El reporte histopatológico definitivo reveló un diagnóstico de hemangioma capilar lobular.Palabras clave: Hemangioma lobular capilar, tráquea distal, tumor traqueal. Rare case of hemoptysis due to tracheal lobular capillary hemangiomaABSTRACT. Capillary hemangiomas are benign tumors that are commonly found in mucous membranes and cutaneous surfaces. Rarely, these tumors can be located in the trachea and central airway. We present a case report of intrathoracic tracheal resection and anastomosis for recurrent hemoptysis due to capillary hemangioma. A 47-year-old male patient was referred to our center for recurrent hemoptysis secondary to a distal endophytic tracheal tumor with a distance of 3.5 cm to the carina. We used a posterolateral approach to perform the tracheal resection based on the tumor anatomical position. The histopathological report revealed lobular capillary hemangioma.

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Section: Discussionunclassified

Section: Introductionunclassified

See 1 more Smart Citation

Caso raro de hemoptisis por hemangioma lobular capilar traqueal

Moraga

Celaya

Ortega³

et al. 2019

NCT Neumología Y Cirugía De Tórax

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“…Following multiple poor responses to electrocautery and argon plasma coagulation, Shen et al [ 16 ] utilised brachytherapy successfully to control a 2 cm tracheal LCH in a 35-year-old male. Dabó et al required photocoagulation to achieve haemostasis following significant bleeding on removal of a tracheal LCH using rigid biopsy forceps in a 51-year-old female [ 17 ]. Zambudio et al performed arterial embolisation to control massive haemoptysis from a bleeding tracheal capillary haemangioma in a 66-year-old female with thrombocytopaenia [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Tracheal Lobular Capillary Haemangioma: A Rare Benign Cause of Recurrent Haemoptysis

Acharya

Kotidis

Loubani

2016

Case Reports in Surgery

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Lobular capillary haemangioma (LCH), previously known as pyogenic granuloma, is a benign vascular lesion commonly found within the oral and nasal cavity. However, it is rarely encountered within the trachea, where presenting features include recurrent haemoptysis, cough, and wheeze. We here describe a case of a 7 mm tracheal LCH in a 56-year-old woman, which was successfully resected at interventional bronchoscopy using biopsy forceps. Clinicians should be aware of tracheal LCH in the differential diagnosis for recurrent haemoptysis.

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“…More definitive endoluminal techniques may be useful when the source of bleeding is endobronchial, when the source is not amenable to bronchial artery embolization (BAE), or when BAE has failed. Possible techniques include local laser therapies such as Nd:YAG laser or argon plasma coagulation of the bleeding mucosa with the goal of hemostasis [53][54][55]. Bronchoscopic laser therapy cannot be used in patients requiring a fraction of inspired oxygen (FIO2) > 0.40 because of the risk of airway fire [56].…”

Section: Bronchoscopic Therapiesmentioning

confidence: 99%

Management of life-threatening hemoptysis

et al. 2020

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It is estimated that 5-14% of patients presenting with hemoptysis will have life-threatening hemoptysis, with a reported mortality rate between 9 and 38%. This manuscript provides a comprehensive literature review on lifethreatening hemoptysis, including the etiology and mechanisms, initial stabilization, and management of patients. There is no consensus on the optimal diagnostic approach to life-threatening hemoptysis, so we present a practical approach to utilizing chest radiography, computed tomography, and bronchoscopy, alone or in combination, to localize the bleeding site depending on patient stability. The role of angiography and embolization as well as bronchoscopic and surgical techniques for the management of life-threatening hemoptysis is reviewed. Through case presentation and flow diagram, an overview is provided on how to systematically evaluate and treat the bronchial arteries, which are responsible for hemoptysis in 90% of cases. Treatment options for recurrent hemoptysis and definitive management are discussed, highlighting the role of bronchial artery embolization for recurrent hemoptysis.

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Tracheal lobular capillary hemangioma treated with laser photocoagulation

Cited by 7 publications

References 9 publications

Caso raro de hemoptisis por hemangioma lobular capilar traqueal

Caso raro de hemoptisis por hemangioma lobular capilar traqueal

Tracheal Lobular Capillary Haemangioma: A Rare Benign Cause of Recurrent Haemoptysis

Management of life-threatening hemoptysis

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