We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Pulmonary Hamartomas: A Single-Center Analysis of 59 Cases.
- Authors
Ulas, Ali Bilal; Aydin, Yener; Eroglu, Atilla
- Abstract
Objective: This study investigated the clinical, radiological, and surgical treatment results of patients who underwent surgical treatment for pulmonary hamartomas. Materials and Methods: Fifty-nine consecutive patients who underwent surgical treatment for pulmonary hamartomas in our clinic between January 2001 and February 2021 were analyzed retrospectively. Results: Forty-three out of 59 (72.9%) of the cases were male and 16 (27.1%) were female. The average age was 52.0 ± 15.0 (between 5 years and 80 years). While pulmonary hamartoma was in the form of a solitary pulmonary nodule in 55 (93.2%) of the cases, there were multiple lesions in 4 (6.8%) cases. Simultaneous gastric adenocarcinoma was detected in 1 patient. One case had been operated on for Wilms tumor. Twenty-two (37.3%) of the cases were asymptomatic and were detected incidentally. Locations of pulmonary hamartomas were 18 (29.0%) in the left lower lobe, 16 (25.8%) in the right upper lobe, 12 (19.4%) in the right lower lobe, 9 (14.5%) in the left upper lobe, and 7 (11.3%) in the right middle lobe. The mean lesion diameter was 22.0 ± 9.5 mm (between 10 mm and 56 mm). Mild to moderate fluorodeoxyglucose (FDG) uptake was observed in 11 of 15 cases that were evaluated with positron emission tomography/computed tomography. Surgically, 44 (74.6%) patients underwent wedge resection, 13 (22.0%) patients underwent enucleation and two (3.4%) patients underwent lobectomy. Perioperative morbidity and mortality were not observed in any of the cases. The cases were followed up for an average of 40.6 ± 38.7 months (between 1 month and 151 months). No recurrence was observed in any of the cases during follow-up. Conclusion: Pulmonary hamartomas are usually detected incidentally and as a solitary pulmonary nodule. Although radiological findings provide important information, a definitive diagnosis is usually made during surgery. Parenchyma-sparing surgery should be preferred in these cases whenever possible.
- Subjects
LUNG disease diagnosis; LUNG radiography; STOMACH tumors; ADENOCARCINOMA; LUNG diseases; RETROSPECTIVE studies; ACQUISITION of data; TREATMENT effectiveness; NEPHROBLASTOMA; HAMARTOMA; MEDICAL records; RADIOPHARMACEUTICALS; DESCRIPTIVE statistics; DEOXY sugars; SYMPTOMS
- Publication
Eurasian Journal of Medicine, 2022, Vol 54, Issue 3, p270
- ISSN
1308-8734
- Publication type
Article
- DOI
10.5152/eurasianjmed.2022.21150