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Related Concept Videos

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Broncholithiasis: A Review.

Khaled Alshabani1, Subha Ghosh2, Andrea V Arrossi3

  • 1Respiratory Institute, Cleveland Clinic, Cleveland, OH.

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|June 8, 2019
PubMed
Summary
This summary is machine-generated.

Broncholithiasis is the presence of calcified material in the airways, often originating from lymph nodes due to infections like TB. Diagnosis involves imaging and bronchoscopy, with treatment ranging from observation to surgery.

Keywords:
broncholithbroncholithiasisbronchoscopythoracotomy

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Area of Science:

  • Pulmonology
  • Medical Imaging
  • Pathology

Background:

  • Broncholithiasis involves calcified or ossified material within the tracheobronchial tree.
  • The condition's origins trace back to ancient descriptions of
  • spitting of stones.
  • Calcification typically initiates in mediastinal, hilar, or peribronchial lymph nodes, often due to granulomatous processes like tuberculosis or histoplasmosis.

Purpose of the Study:

  • To define broncholithiasis and its characteristics.
  • To outline the diagnostic approaches for broncholithiasis.
  • To discuss the management and prognosis of broncholithiasis.

Main Methods:

  • Diagnosis is typically suspected on chest radiographs.
  • Confirmation is achieved through bronchoscopy.
  • Management strategies are determined by disease severity.

Main Results:

  • Common symptoms include cough, hemoptysis, and wheezing due to airway irritation.
  • Broncholiths can be found in airways without obvious erosion.
  • The exact mechanism of broncholith entry into the endobronchial tree remains unclear.

Conclusions:

  • Broncholithiasis, while potentially serious, has a good prognosis with timely and appropriate management.
  • Early diagnosis via radiography and bronchoscopy is crucial.
  • Treatment options are varied, from observation to surgical intervention.