Background. Endobronchial lipomas are a particularly rare form of benign lung neoplasms, with an incidence of 0.1-0.4%. They are\noften clinically silent, though present with nonspecific symptoms that can result in extensive workup or significant delay prior to\ndiagnosis, as presented in this case. Case Presentation. A 61-year-old male presented with chronic productive cough and occasional\ndyspnea and a 10-year history of clinically diagnosis of intermittent, exercise-induced asthma, nonresponsive to bronchodilators,\nand with normal pulmonary function tests. A chest ray showed a band-like opacity in the right middle lobe of the lung and a CT of\nthe chest showed right lung atelectasis with a soft tissue mass in the right main bronchus. The patient underwent bronchoscopy\nwith biopsy, which demonstrated an endobronchial myxoid spindle cell lipoma. The lesion was subsequently removed by a\nbronchoscopic snare. The patientâ??s asthmatic-like symptomatology resolved after the mass was excised. Conclusion. Though\nrare, endobronchial lipomas characteristically present with nonspecific signs and symptoms and thus can be easily mistaken for\nother medical conditions, delaying diagnosis and prolonging symptoms.
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