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Endobronchial hamartoma presenting as massive haemoptysis
R A Sharkey1, E M Mulloy, S O'Neill
1Dept of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
The European Respiratory Journal
|October 1, 1996
Summary
A 53-year-old man experienced severe coughing up blood due to a lung mass. Surgery revealed it was a pulmonary hamartoma, a benign lung tumor.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Pathology
Background:
- Pulmonary hamartomas are the most common benign lung tumors.
- They are typically asymptomatic and discovered incidentally.
- Massive hemoptysis is an unusual presentation for pulmonary hamartoma.
Observation:
- A 53-year-old male presented with massive hemoptysis.
- Chest radiography identified a left suprahilar mass.
- Surgical exploration revealed a modular mass in the left upper lobe attached to a peripheral bronchus.
Findings:
- Histological examination confirmed the mass as a pulmonary hamartoma.
- This benign tumor is composed of disorganized mature mesenchymal elements.
Implications:
- While typically benign, pulmonary hamartomas can present with significant symptoms like hemoptysis.
- Surgical resection is curative for symptomatic or large hamartomas.
- This case highlights the importance of considering benign etiologies in patients with hemoptysis and lung masses.