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Endobronchial hamartoma. A case report.

M B Prabhu1, D Barber, D W Cockcroft

  • 1Department of Medicine, Royal University Hospital, Saskatoon, Saskatchewan, Canada.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|May 2, 1992
PubMed
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A rare endobronchial hamartoma, a benign bronchial tumor, was unexpectedly coughed up by a patient. This unusual presentation occurred 24 hours after a procedure for a suspected malignant tumor.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Pathology

Background:

  • Endobronchial hamartomas are rare, benign tumors originating from the bronchial wall.
  • Diagnosis can be challenging due to their infrequent occurrence and varied presentations.
  • Bronchoscopic manipulation is a common diagnostic and therapeutic tool for endobronchial lesions.

Observation:

  • A patient presented with symptoms suggestive of a malignant bronchial tumor.
  • Bronchoscopic manipulation was performed for diagnostic evaluation of the suspected malignancy.
  • The patient subsequently expectorated a large endobronchial mass.

Findings:

  • Histopathological examination confirmed the expectorated mass as an endobronchial hamartoma.
  • The tumor's benign nature contrasted with the initial suspicion of malignancy.

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  • The expectoration of the tumor was an atypical resolution following bronchoscopy.
  • Implications:

    • This case highlights the importance of considering benign conditions even with concerning initial findings.
    • Unusual expectoration of a bronchial tumor can be a spontaneous resolution.
    • Further investigation into the mechanism of expectoration post-bronchoscopy may be warranted.