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Bronchial leiomyoma, a case report and review of literature.

Cárdenas-García J, Lee-Chang A, Chung V, Shim C, Factor S, Tibb A - Respir Med Case Rep (2014)

Bottom Line: He was treated with antibiotics and ruled out for tuberculosis with negative sputum smear.Endobronchial biopsy of the lesion revealed an endobronchial leiomyoma, a rare cause of endobronchial tumor.Differential diagnoses of endobronchial lesions are discussed along with clinical, radiographic, pathologic characteristics and various treatment modalities for endobronchial leiomyomas.

View Article: PubMed Central - PubMed

Affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Hofstra North-Shore LIJ School of Medicine, New Hyde Park, NY, USA.

ABSTRACT
A 44 year old male former smoker from Ecuador presented with productive cough for 3 weeks, positive tuberculin skin test, 40 lbs weight loss and right lower lobe collapse. He denied wheezing or hemoptysis. He was treated with antibiotics and ruled out for tuberculosis with negative sputum smear. Bronchoscopy showed an endobronchial lesion at the distal end of bronchus intermedius as cause of the collapse. Endobronchial biopsy of the lesion revealed an endobronchial leiomyoma, a rare cause of endobronchial tumor. The patient underwent bilobectomy as definite therapy for the leiomyoma due to its large size and possible extra-luminal extension, which made it not amenable to bronchoscopic resection or bronchoplasty. Differential diagnoses of endobronchial lesions are discussed along with clinical, radiographic, pathologic characteristics and various treatment modalities for endobronchial leiomyomas.

No MeSH data available.


Related in: MedlinePlus

Chest radiograph shows right lower lobe (RLL) collapse, similar to that of 2 years ago A. Posteroanterior view. B. Lateral view.
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fig1: Chest radiograph shows right lower lobe (RLL) collapse, similar to that of 2 years ago A. Posteroanterior view. B. Lateral view.

Mentions: The patient's posteroanterior and lateral chest radiographs are shown in Fig. 1A–B. Chest CT images (axial and coronal views) are shown in Fig. 2A–B. Pulmonary function tests were normal. Flexible bronchoscopy showed a smooth round white polypoid lesion with wide base at the distal end of bronchus intermedius almost completely occluding the lumen (Fig. 3). White thick mucoid substance could be seen exuding from the right middle lobe bronchus. Our patient underwent bilobectomy and a biopsy of the polypoid lesion is shown in Fig. 4A–B. The diagnosis of an endobronchial leiomyoma causing complete obstruction of bronchus intermedius was made.


Bronchial leiomyoma, a case report and review of literature.

Cárdenas-García J, Lee-Chang A, Chung V, Shim C, Factor S, Tibb A - Respir Med Case Rep (2014)

Chest radiograph shows right lower lobe (RLL) collapse, similar to that of 2 years ago A. Posteroanterior view. B. Lateral view.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4061443&req=5

fig1: Chest radiograph shows right lower lobe (RLL) collapse, similar to that of 2 years ago A. Posteroanterior view. B. Lateral view.
Mentions: The patient's posteroanterior and lateral chest radiographs are shown in Fig. 1A–B. Chest CT images (axial and coronal views) are shown in Fig. 2A–B. Pulmonary function tests were normal. Flexible bronchoscopy showed a smooth round white polypoid lesion with wide base at the distal end of bronchus intermedius almost completely occluding the lumen (Fig. 3). White thick mucoid substance could be seen exuding from the right middle lobe bronchus. Our patient underwent bilobectomy and a biopsy of the polypoid lesion is shown in Fig. 4A–B. The diagnosis of an endobronchial leiomyoma causing complete obstruction of bronchus intermedius was made.

Bottom Line: He was treated with antibiotics and ruled out for tuberculosis with negative sputum smear.Endobronchial biopsy of the lesion revealed an endobronchial leiomyoma, a rare cause of endobronchial tumor.Differential diagnoses of endobronchial lesions are discussed along with clinical, radiographic, pathologic characteristics and various treatment modalities for endobronchial leiomyomas.

View Article: PubMed Central - PubMed

Affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Hofstra North-Shore LIJ School of Medicine, New Hyde Park, NY, USA.

ABSTRACT
A 44 year old male former smoker from Ecuador presented with productive cough for 3 weeks, positive tuberculin skin test, 40 lbs weight loss and right lower lobe collapse. He denied wheezing or hemoptysis. He was treated with antibiotics and ruled out for tuberculosis with negative sputum smear. Bronchoscopy showed an endobronchial lesion at the distal end of bronchus intermedius as cause of the collapse. Endobronchial biopsy of the lesion revealed an endobronchial leiomyoma, a rare cause of endobronchial tumor. The patient underwent bilobectomy as definite therapy for the leiomyoma due to its large size and possible extra-luminal extension, which made it not amenable to bronchoscopic resection or bronchoplasty. Differential diagnoses of endobronchial lesions are discussed along with clinical, radiographic, pathologic characteristics and various treatment modalities for endobronchial leiomyomas.

No MeSH data available.


Related in: MedlinePlus