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Right arrow Trachea and bronchi

Ann Thorac Surg 2003;75:1300-1302
© 2003 The Society of Thoracic Surgeons

Case report

Resection of endobronchial hamartoma by bronchoplasty and transbronchial endoscopic surgery

Hironori Ishibashi, MD*a, Hideki Akamatsu, MDa, Masataka Kikuchi, MDa, Makoto Sunamori, MDa

a Department of Thoracic Cardiovascular Surgery, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

Accepted for publication October 8, 2002.

* Address reprint requests to Dr Ishibashi, Department of Thoracic Cardiovascular Surgery, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan
e-mail: hishiba{at}kf6.so-net.ne.jp

Endobronchial hamartoma is a rare, benign tumor usually associated with pneumonitis and atelectasis caused by obstruction. Lobectomy is sometimes performed even if the tumor is benign. Transbronchial endoscopic surgery is usually performed for patients with a small endobronchial hamartoma. We report our treatment of a large hamartoma completely obstructing the patient’s left main bronchus. The tumor was partially resected, and that remaining was resected by transbronchial endoscopic surgery. No finding of recurrence of the endobronchial hamartoma was detected by endoscopy or biopsy for 3 years. A combination of bronchoplasty and transbronchial endoscopic surgery benefits patients with large endobronchial hamartoma by preserving the lung parenchyma.






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