Pulmonary hamartoma: Retrospective analysis of 24 cases
Öz
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.
Anahtar Kelimeler
Kaynakça
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- 3. Suut S, Al-Ani Z, Allen C, et all. Pictorial essay of radiological features of benign intrathoracic masses. Ann Thorac Med. 2015 Oct-Dec; 10: 231-42.
- 4. Ekinci GH, Hacıömeroğlu O, Ersev A, et all. The frequency of lung cancer in patients with pulmonary hamartomas: An evaluation of clinical, radiological, and pathological features and follow-up data of 96 patients with pulmonary hamartomas. Rev Port Pneumol. 2017 Sep - Oct; 23: 280-6.
- 5. An J, Long M, Jiang Y, Jin Y. Concomitant a giant pulmonary bulla on the left lower lobe and hamartoma successfully treated by video-assisted thoracoscopic pulmonary wedge resection. AME Case Rep. 2017 Sep 26; 1: 2.
- 6. Abdel Hady SM, Elbastawisy SE, Hassaballa AS, Elsayed HH. Is surgical resection superior to bronchoscopic resection in patients with symptomatic endobronchial hamartoma? Interact Cardiovasc Thorac Surg. 2017 May 1; 24: 778-82.
- 7. Dimitrakakis G, Challoumas D, Rama Rao Podila S, et all. The challenge of pulmonary endobronchial chondromatous hamartomas.J BUON. 2014 Jan-Mar; 19: 60-5.
- 8. Elsayed H, Abdel Hady SM, Elbastawisy SE. Is resection necessary in biopsy-proven asymptomatic pulmonary hamartomas? Interact Cardiovasc Thorac Surg. 2015 Dec; 21: 773-6.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Miktat Arif Haberal
Bu kişi benim
0000-0002-1051-094X
Ozlem Sengoren Dikis
*
Bu kişi benim
0000-0001-7005-3333
Erkan Akar
Bu kişi benim
0000-0002-9113-8237
Yayımlanma Tarihi
3 Mart 2019
Gönderilme Tarihi
11 Ekim 2018
Kabul Tarihi
29 Ocak 2019
Yayımlandığı Sayı
Yıl 2019 Cilt: 46 Sayı: 1