Abstract
Endobronchial lipomas are rare benign unusual tumors of the respiratory tract. We describe a 65-year-old Chinese man with a history of cough due to an endobronchial tumor. The endobronchial biopsy was not excisional and was unable to evaluate the whole tumor. Then the mass was successfully resected via a right lateral thoracotomy. The histopathological diagnosis confirmed a benign lipoma arising from the membranous trachea. His CT features and fiberoptic bronchoscopic findings are shown along with the pathological results. In describing the management of this case, we stress that the clinical treatment of such tumors should be individualized according to the characteristics of each patient and mass.
Highlights
Endobronchial lipomas are a relatively rare benign tumor accounting for only 0.1% of all lung neoplasms.[1]
Clinical symptoms of an endobronchial lipoma depend on the location of the mass, the severity of endoluminal obstruction, and the functional and anatomical effects on the lung distal to the obstruction
We report a case of a 65-yearold man with an endobronchial lipoma causing obstruction of the right upper bronchus
Summary
Endobronchial lipomas are a relatively rare benign tumor accounting for only 0.1% of all lung neoplasms.[1]. There was no history of fever, dyspnea, chest pain, hemoptysis or wheezing On physical examination, he was found to have decreased breath sounds on the right chest. A chest radiograph showed atelectasis of the right upper lung (Fig.1A). Surfaced mass obstructing the right upper bronchus (Fig.[3]). The bronchoscope could not be advanced beyond the mass and into the right upper bronchus. This was confirmed to be identical to the site of the intratracheal tumor located by fiberoptic bronchoscope. On 11 month follow-up, the patient remained asymptomatic, with good clinical and radiological evaluations
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