Benign lung tumors: Presentation, diagnosis, and outcome
Pacheco1, Hans Dabo2, Gabriela Fernandes2, Pedro Bastos3 and Adriana
Hospital De Braga, Braga, Portugal, 2Pulmonology, Hospital De
São João, Porto, Portugal, 3Cardiothoracic
Surgery, Hospital De São João, Porto, Portugal
tumors of the lung
are uncommon and can be diagnostically challenging.
Methods: Retrospective analysis of the clinicopathologic
data and outcome of patients with benign lung tumors diagnosed in the
last 10 years.
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of surgical resection in tracheal tumors
72 patients were included, 68% male,mean age 55 years.Most of the
patients were assymptomatic. In 23,6% of patients with endoscopic
abnormalities appeared respiratory symptoms such as shortness of breath
and obstructive pneumonia. CT scan showed a solitary pulmonary nodule
in 73,6%.Endoscopic abnormalities were found in 16 patients.Tumors were
more frequently located at main bronchus.Most lesions appeared as
exophytic lesion or polyps.BB was diagnostic for hamartoma
(n=7),papilloma (n=4),granular cell myoblastoma (n=3),leiomyoma (n=1)
and inflammatory pseudotumor (n=1).In 7 cases, bronchial biopsy removed
the entire tumor.Transthoracic needle biopsy (TNB) was performed in 26
patients and was diagnostic for hamartoma in 13 cases and mixoid tumor
in 1 case.Forty seven patients were treated surgically,most with
lobectomies and segmentectomies.Pathological diagnosis revealed 32
hamartomas,5 solitary fibrous tumors,2 lymphangiomas,2 adenomas,1
chondroma,1 myofibroblastic tumor,1 papilloma,1 inflammatory
pseudotumor,1 granular cell myoblastoma and 1 desmoid tumor.In 18
cases, although diagnostic confirmation, has not been performed
surgical therapy. In 11 cases surgical treatment was refused by the
lung tumors are usually assymptomatic and do not pose a significant
health problem. The purpose of surgical intervention for benign lung
tumors is to avoid missing potentially malignant lesions. In some
situations, these tumors can be diagnosed and treated endoscopically.
Image : http://lcfamerica.org/wp-content/...
PDPI Surakarta. 18/01/18.
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