CRCM  Vol.7 No.11 , November 2018
A Case of COPD with Left Endobronchial Hamartoma by Bronchoscopic Intervention
ABSTRACT
Objective: Exploration for chronic obstructive pulmonary disease with branched air lumen hamartoma by bronchoscoptic treatment. Material and Method: An old man was referred to our hospital with shortness of breath for many years. Clinical evidence emphysema on respiratory examination, lung function and chest X-ray gave rise to concern. He was diagnosed as COPD and treated with ICS + LABA. But the shortness of breath is still existed. Initial assessment by CT suggested a left lower lobe collapse. Then bronchoscope identified a solid abnormality in main left bronchus. The pathology showed a benign neoplasm. Because of intolerance of operation, the patient was treated by brochoscopic intervention. The endoscopic intervention included resection by electrosurgical snare, electrocautery, argon plasma coagulation (APC). Result: After intervention, the neoplasm was partly removed and the pathological result was endobrochial hematoma. After treatment, the patient’s panting had taken a turn for the better. After one month later, the patient’s lung function improved a lot. Conclusion: In conclusion, endobronchial hamartomas are one of benign neoplasms. It can cause persistent bronchial obstruction and recurrent pneumonias. In this case, invasive endoscopic treatment provides an excellent outcome.
Cite this paper
Gong, Y. , Lu, L. , Long, F. , Yang, H. , Chen, X. and Li, S. (2018) A Case of COPD with Left Endobronchial Hamartoma by Bronchoscopic Intervention. Case Reports in Clinical Medicine, 7, 550-556. doi: 10.4236/crcm.2018.711049.
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