Endobronchial hamartoma mimicking malignant lung tumor contralateral endobronchial metastasis: A case report

Endobronchial hamartoma, the most common benign lung tumor, is located in the bronchus, and it easily mimics lung cancer or bronchial metastasis. Endobronchial hamartoma can cause coughing, hemoptysis, and pulmonary infection; thus, it should be treated right away by surgery or fiberoptic bronchosco...

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Bibliographic Details
Published in:Medicine (Baltimore) 2017-12, Vol.96 (49), p.e9085-e9085
Main Authors: Chen, Sheng-Song, Zhou, Hong, Tong, Bo, Yu, Ling-Ling, Fan, Si-Si, Xiao, Zu-Ke
Format: Article
Language:English
Subjects:
Biopsy, Fine-Needle
Bronchial Diseases - diagnosis
Bronchial Diseases - pathology
Bronchoscopy
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - pathology
Clinical Case Report
Diagnosis, Differential
Hamartoma - diagnosis
Hamartoma - pathology
Humans
Lung Neoplasms - diagnosis
Lung Neoplasms - pathology
Male
Middle Aged
Neoplasms, Multiple Primary - diagnosis
Neoplasms, Multiple Primary - pathology
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Summary:Endobronchial hamartoma, the most common benign lung tumor, is located in the bronchus, and it easily mimics lung cancer or bronchial metastasis. Endobronchial hamartoma can cause coughing, hemoptysis, and pulmonary infection; thus, it should be treated right away by surgery or fiberoptic bronchoscopy. We report a rare case of endobronchial hamartoma in which the clinical symptoms and imaging overlapped strongly with malignant lung tumor contralateral endobronchial metastasis. Endobronchial hamartoma coexisting with a malignant lung tumor. Fiberoptic bronchoscopy was conducted, and the pathologic diagnosis was hamartoma. A second fiberoptic bronchoscopy was conducted, and fine-needle aspiration cytology of the enlarged lymph nodes indicated squamous cell carcinoma. The clinical symptoms were relieved, and the treatment options were docetaxel, cis-dichlorodiamineplatinum, and endostatin. Fiberoptic bronchoscopy needs to be guided by imaging and can be considered an effective method for the diagnosis of endobronchial hamartoma.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000009085