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  Česky / Czech version Endoskopie, 10, 2001, No. 3, p. 54-59
 
Endobronchial Benign Neoplasms – Case Reports 
Brejchová M., Trefný M., Votruba J., Marel M. 

Pneumologická klinika UK, Praha, přednosta doc. MUDr. Boris Šťastný, CSc.
 


Summary:

       We present four cases of endobronchial benign neoplasms of lung. Approximately 90% of lung tumors is bronchogenic cancer and only 19% are benign tumors or bronchial carcinoids. 1–2% from this benign tumors are endobron chial. Pulmonary hamartomas are largest group of be- nign pulmonary neoplasms. Uncommon benign neop- lasms are leiomymas, lipomas, fibromas, myomas etc. The clinical symptoms are caused by obstruction of air- flow with possibility of distal atelectasis, over infection and pneumonia. Other clinical sign and symptoms is cough, dyspnoe, rare hemoptysis. Helical CT is highly specific and sensitive in detection tumors of soft tissue (fat approximately from –70 to –140 HU). Bronchoscopy is an excellent method of diagnosis and treatment. Endobronchial tumors shoud be treated by endoscopic surgery or endoscopic vaporisation. If bronchoscopic management is not possible, we must resort to thoracotomy with bronchiotomy or rare lobectomy, pneumonectomy for destruction of lung due to recurrent pneumonie.

        Key words: endobronchial benign neoplasms, helical CT, laser vaporisation, endoscopic surgery
       

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