Objective: Exploration for chronic obstructive pulmonary disease with\nbranched air lumen hamartoma by bronchoscoptic treatment. Material and\nMethod: An old man was referred to our hospital with shortness of breath for\nmany years. Clinical evidence emphysema on respiratory examination, lung\nfunction and chest X-ray gave rise to concern. He was diagnosed as COPD\nand treated with ICS + LABA. But the shortness of breath is still existed. Initial\nassessment by CT suggested a left lower lobe collapse. Then bronchoscope\nidentified a solid abnormality in main left bronchus. The pathology showed a\nbenign neoplasm. Because of intolerance of operation, the patient was treated\nby brochoscopic intervention. The endoscopic intervention included resection\nby electrosurgical snare, electrocautery, argon plasma coagulation\n(APC). Result: After intervention, the neoplasm was partly removed and the\npathological result was endobrochial hematoma. After treatment, the patientâ??s\npanting had taken a turn for the better. After one month later, the patientâ??s\nlung function improved a lot. Conclusion: In conclusion, endobronchial\nhamartomas are one of benign neoplasms. It can cause persistent bronchial\nobstruction and recurrent pneumonias. In this case, invasive endoscopic\ntreatment provides an excellent outcome.
Loading....