CASE REPORT: PULMONARY HAMARTOMA IN PATIENT WITH BREAST CANCER

Abstract

TYPE: Case Report TOPIC: Cardiothoracic Surgery INTRODUCTION: Pulmonary hamartoma accounts 77% of benign lung tumors and 4% of solitary pulmonary nodules. It is more common in male adults. It is rare benign lung tumors and are composed of an abnormal mixture of epithelial and mesenchymal elements. It usually presents as single, round nodules with distinct boundaries and mostly asymptomatic. Metastasis was differential diagnosis. Enclulation was done through mini-thoracotomy. Histopathological examination confirmed the diagnosis. CASE PRESENTATION: 47-years female referred from Oncology Department with two pulmonary nodules. She had bilateral mastectomy 3-years ago. The patient had a history of hormonal therapy and chemotherapy, as well as of adjuvant radiotherapy. Chest CT revealed two pulmonary nodules (3 × 2.5 cm). Pulmonary metastasis was differential diagnosis and biopsy indicated for confirmation. Enucleation was performed through mini-thoracotomy. The excised nodules were firm, and non-capsulated. The patient recovered well and discharged on 3rd POD. DISCUSSION: The incidence of pulmonary hamartoma was 0.25%. It is more common in adult males,and discovered accidentally . [4] It is the third most common cause of SPN. [5] Surgical resection is a definitive diagnosis, and with low morbidity and mortality rate. [1] Conservative lung sparing surgery is indicted. [4] Pulmonary nodules in breast cancer patients should be treated after pathological confirmation. The most common “symptoms” is fear, as these tumors can similar to cancer when found, especially on imaging. [5] CONCLUSIONS: Pulmonary hamartomas present as PSN. Sparing lung surgery is recommended for accurate diagnosis and treatment. DISCLOSURE: Nothing to declare. KEYWORD: Hamartoma, Solitary Pulmonary Nodule, Lung Cancer, Breast Cancer, Metastasis.