Endobronchial hamartoma.

Area of Science:

• Pulmonology
• Thoracic Surgery
• Pathology

Background:

• Pulmonary hamartomas are benign lung neoplasms, accounting for 6% of solitary pulmonary nodules.
• They present as intraparenchymal (90%) or endobronchial (10%) types.
• Endobronchial hamartomas can cause airway obstruction and respiratory symptoms.

Purpose of the Study:

• To report a case of endobronchial hamartoma.
• To describe its successful resection using flexible bronchoscopic electrocautery.
• To highlight endoscopic treatment as a primary approach for selected cases.

Main Methods:

• A 57-year-old male with dyspnea underwent computed tomography and flexible bronchoscopy.
• A lesion in the left main bronchus was biopsied, initially diagnosed as bronchial papilloma.
• Endobronchial electrosurgery via flexible bronchoscope was performed for lesion excision.

Main Results:

• Histopathologic examination confirmed the lesion as a cartilaginous hamartoma.
• The endobronchial hamartoma was successfully resected using flexible bronchoscopic electrocautery.
• The patient's symptoms were addressed through this minimally invasive procedure.

Conclusions:

• Endobronchial hamartomas are rare benign neoplasms of the tracheobronchial tree.
• Flexible bronchoscopic electrocautery is a safe and effective treatment modality.
• Endoscopic resection should be considered the primary treatment for selected endobronchial hamartomas.