Pulmoner Hamartom; Klinik, Radyolojik ve Patolojik Özellikleri Eşliğinde 10 Yıllık Hastane Deneyimimiz

Year 2018, Volume: 4 Issue: 3, 262 - 269, 01.01.2018

Tangül Bulut Ruşen Uzun

Abstract

Amaç: Akciğerin benign lezyonu olan pulmoner hamartom nadir bir lezyondur ve soliter pulmoner nodüllerin %6’sını oluşturur. Çalışmada, hastanemizde tanı alan, 10 pulmoner hamartom olgusunun klinik, radyolojik ve patolojik özellikleri incelenmiştir. Gereç ve Yöntemler: Ocak 2006 ile Aralık 2016 tarihleri arasında hastane dosya arşivi ve bilgisayar verileri retrospektif olarak incelendi.Bulgular: Olguların yaş ortalaması 52,3 yıl 33-67yıl olup, altı olgu kadın, dört olgu erkekti. Yedi olgu semptomatik olup bir olguya eş zamanlı akciğer adenoskuamöz karsinomu eşlik etmekte idi. Lezyonların çoğunluğu %60 sol akciğerde yerleşimli ve ortalama çapı 3,12 cm 1-6 cm idi. Tüm olgular periferik yerleşimliydi. Yalnızca bir olguda %16,6 popcorn kalsifikasyon izlendi. Tüm olgulara wedge rezeksiyon ve kitle enükleasyonu içeren akciğeri koruyucu cerrahi uygulandı. Eksizyon sonrası, ortalama 36,23 ay 25 gün-113 ay takip süresi boyunca nüks veya malignite gelişimi izlenmedi ve pulmoner hamartom nedenli ölüm olmadı.Sonuç: Akciğer kanseri ayırıcı tanısı nedeniyle pulmoner hamartom önemlidir. Radyolojik olarak ancak %34-50 oranında tanı verilebildiği için multidisipliner davranmanın gerekli olduğu, klinik ve radyolojik bulgular eşliğinde ince iğne aspirasyon veya tru-cut biyopsi kullanılarak tanı konulabileceği ve cerrahi uygulanmaksızın güvenle takip edilebileceği unutulmamalıdır. Cerrahi sonrası ise takip gerekli değildir

Keywords

Pulmoner hamartom, Popcorn kalsifikasyon, Akciğer tümörleri, Soliter Pulmoner Nodül, Benign akciğer tümörleri

Pulmonary Hamartoma; 10 Years of Hospital Experience with the Clinical, Radiological and Pathological Features

Abstract

Objective: A benign lesion of the lungs, pulmonary hamartoma is a rare lesion and makes up 6% of the solitary pulmonary nodules. In the present study, we aimed to examine the clinical, radiological, and pathological characteristics of 10 pulmonary hamartoma cases diagnosed at our hospital. Material and Methods: The hospital file archive and computer data between January 2006 and December 2016 were evaluated retrospectively. Results: The mean age of the cases was 52.3 years 33-67 years old ; and 6 cases were female whereas 4 cases were male. 2 cases were symptomatic and 1 case had accompanying adenosquamous carcinoma of the lung. The majority of the lesions 60% were located in the left lung with an average diameter of 3.12 cm 1-6 cm . All cases were peripherally located. Popcorn calcification was observed only in 1 case 16.6% . Protective lung surgery including wedge resection and mass enucleation was performed in all cases. No recurrences or malignancy development was observed, and no death caused by pulmonary hamartoma was encountered in the course of the average monitoring period of 36.23 months 25 days–113 months following excision. Conclusion: Pulmonary hamartoma is important because of the differential diagnosis of lung cancer. Since the diagnosis can only be made at a rate of 34-50% via radiology, it is necessary to approach the case in a multidisciplinary manner. The diagnosis can be made with the clinical and radiological findings accompanying fine needle aspiration or tru-cut biopsy, and the disease can be safely monitored without any surgical intervention. No follow-up procedure is necessary following the surgery

Keywords

Pulmonary hamartoma, Popcorn calcification, Lung tumors, Solitary Pulmonary Nodule, Benign lung tumors

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