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- Title
Bronchoscopic management of solitary bronchial myelolipoma: a case report.
- Authors
Chung, Hyun Sung; Lee, Kyu Min; Eom, Jung Seop; Kim, Insu; Park, Seyeon; Ahn, Jihyun; Kim, Ahrong; Lee, Chang Hun; Lee, Geewon; Lee, Min Ki
- Abstract
<bold>Background: </bold>Myelolipoma is a rare benign tumor composed of mature adipose and hematopoietic tissues. Most myelolipomas are found in the adrenal glands, whereas intrathoracic myelolipoma is extremely rare. In particular, bronchial myelolipoma without the involvement of lung parenchyma has never been reported.<bold>Case Presentation: </bold>A previously healthy 38-year-old male developed dyspnea and a productive cough. Computed tomography revealed an endobronchial mass at the right bronchus intermedius and subsequent atelectasis of the right middle and lower lobes. Flexible bronchoscopy found a total obstruction of the right bronchus intermedius due to an endobronchial tumor. Using a rigid bronchoscope, the endobronchial tumor was resected and the base of the tumor was additionally ablated with a diode laser to prevent recurrence. The removed endobronchial tumor was a 13 mm × 20 mm-sized oval-shaped mass and was pathologically diagnosed as bronchial myelolipoma. Chest radiographs, obtained on the day following the procedure, showed an improvement of atelectasis, and accompanying symptoms were immediately improved. Follow-up bronchoscopy performed after 12 months evidenced no recurrence of the bronchial myelolipoma.<bold>Conclusions: </bold>We used bronchoscopic intervention in patients with solitary bronchial myelolipoma and there was no evidence of recurrence.
- Subjects
ATELECTASIS; LIPOMA; BENIGN tumors; SEMICONDUCTOR lasers; ADRENAL glands; CHEST X rays; ADIPOSE tissues; ADIPOSE tissue tumors; BRONCHIAL tumors; BRONCHOSCOPY; COMPUTED tomography; MEDICAL lasers
- Publication
BMC Pulmonary Medicine, 2019, Vol 19, Issue 1, pN.PAG
- ISSN
1471-2466
- Publication type
journal article
- DOI
10.1186/s12890-019-0910-y