Pulmonary hamartoma: Retrospective analysis of 24 cases

Year 2019, Volume: 46 Issue: 1, 27 - 32, 03.03.2019

Miktat Arif Haberal Ozlem Sengoren Dikis Erkan Akar

https://doi.org/10.5798/dicletip.534820

Cited By: 3

Abstract

Objective:
Lung hamartoma is the most frequently diagnosed benign lung tumor. The aim of
this study was to investigate the clinical, radiological and pathological data
of the patients with pulmonary hamartoma who underwent surgical treatment in
our clinic.

Methods: Hospital
records of 24 lung hamartoma patients given surgical treatment in our clinics
between January 2005 and December 2017 were investigated retrospectively. In
this study, these cases were evaluated with respect to age, gender, clinical,
histopathological, and radiological features, and surgical methods.

Results: There
were 24 patients with a mean age of 50.6 (23-66) years, consisting of 14 males
and 10 females, who underwent surgical resection for pulmonary hamartoma was.
While 17 (42%) patients were asymptomatic, the rest complained of coughing,
shortness of breath and repetitive lung infections. Hamartoma was localized in
the right lung in 16 (67%) of the cases; peripherally in 17 (71%), and
centrally in 7 (29%). All patients underwent wedge resection, 17 cases by
thoracoscopy and 7 cases by thoracotomy. The mean tumor diameter assessed
macroscopically was 2.9 cm (1-4.5cm).

Conclusion:
Pulmonary hamartomas frequently present as peripheral solitary nodules. Given
its low morbidity and mortality, surgical resection is recommended for
definitive diagnosis and treatment, the objective of the intervention being
total excision of the lesion while protecting the lung parenchyma.

Keywords

surgical resection, hamartoma

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