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Published on: December 17, 2014
Case Report: Giant lung hamartoma : An usual cause of lobectomy in a five-year child
Sabrine Louhaichi1,2, Besma Hamdi1,2, Imen Bouacida3
1Department of Respiratory Diseases B. Abderrahmen Mami Hospital, Ariana, Tunisia.
Insights
Pulmonary hamartomas, common benign lung tumors, can present as giant masses in children. This case highlights a rare giant pulmonary hamartoma in a 5-year-old, successfully treated with surgery.
Area of Science:
- Pulmonology
- Pediatric Oncology
- Surgical Pathology
Background:
- Pulmonary hamartomas are the most frequent benign lung neoplasms in adults.
- Typically, they are asymptomatic due to small size and slow growth.
- Giant pulmonary hamartomas are rare, especially in pediatric populations.
Observation:
- A 5-year-old child presented with a giant lung mass.
- The mass led to recurrent right-sided pneumonia.
Findings:
- Surgical resection with middle lobectomy was performed.
- Histology confirmed a pulmonary hamartoma.
- The tumor showed predominant adenofibromatous and lipomatous differentiation.
Implications:
- Giant pulmonary hamartomas, though rare, should be considered in pediatric patients with recurrent pneumonia.
- Surgical intervention is effective for symptomatic large hamartomas.
- Understanding histological variants aids in diagnosis and management.
Abstract:
Pulmonary hamartomas are the most common benign tumors of the lung in adults. They are usually asymptomatic because of their small size and their slow-growing character. We report the case of a 5-year-old child presenting with a giant lung mass causing recurrent right pneumonia. Surgical resection with middle lobectomy was performed. Final histology revealed pulmonary hamartoma with predominant adenofibromatous and lipomatous differentiation.
