Endobronchial Lipoma Treated With Endoscopic Microwave Coagulation to Relieve Atelectasis: The First Case Report

Area of Science:

• Pulmonology
• Interventional Pulmonology
• Oncology

Background:

• Endobronchial tumors, though rare, can cause significant respiratory compromise.
• Surgical resection is a primary treatment but carries risks, especially for patients with comorbidities.
• Microwave coagulation therapy (MCT) has shown promise for various thoracic neoplasms.

Purpose of the Study:

• To evaluate the efficacy and safety of endoscopic microwave coagulation therapy (EMCT) for treating endobronchial lipoma.
• To present EMCT as a minimally invasive alternative to surgery for endobronchial lipoma.

Main Methods:

• A case report detailing the application of EMCT for a patient with endobronchial lipoma.
• Assessment of symptom resolution (atelectasis, cough) and safety profile post-treatment.

Main Results:

• EMCT successfully resolved atelectasis and cough associated with the endobronchial lipoma.
• The procedure was performed safely, avoiding the need for extensive surgery and associated perioperative risks.

Conclusions:

• Endoscopic microwave coagulation therapy is an effective and safe minimally invasive treatment for endobronchial lipoma.
• EMCT provides a valuable therapeutic option for patients unsuitable for surgical resection due to comorbidities or surgical complexity.