The Differential Diagnosis of Asthma: Endobronchial Pulmonary Mesenchymoma

Mehmet Ünlü ,Pınar Çimen ,Nuran Katgı ,Salih Zeki Güçlü

doi:10.23937/2378-3516/1410005

Abstract

A variety of airway tumours are reported to manifest with symptoms similar to those of asthma and may cause delays in exact diagnosis because of the increase in size at a slow rate. Pulmonary endobronchial mesenchymoma is one of the slow growing tumours which is associated with symptoms or signs of airway obstruction mimicking asthma. So, patients with chronic symptoms suggestive of asthma, poor response to asthma medications, and frequent exacerbations should be evaluated for endobronchial mesenchymoma.

Highlights

Pulmonary mesenchymomas are the most common form of benign lung tumours which accounts for approximately 8% of all lung neoplasmsand 77% of all benign lung tumors [1,2]
We describe a case of pulmonary mesenchymoma mimicking features of asthma and treated with asthma medication for more than ten years before admission to our clinic
Pulmonary mesenchymomas are the most common form of benign lung tumours with an incidence of between 0.025%–0.32% according to different necropsy studies [5]

Summary

Introduction

Pulmonary mesenchymomas are the most common form of benign lung tumours which accounts for approximately 8% of all lung neoplasmsand 77% of all benign lung tumors [1,2]. The vast majority of pulmonary mesenchymomas are located peripherally within the lungs (>90%) and only up to 10% of such lesions represent with endobronchial location [3,4]. Because of this rare endobronchial form of presentationpatients may be misdiagnosed as asthma and may be tried to be treatedmistakenly with bronchodilators for a long time. We describe a case of pulmonary mesenchymoma mimicking features of asthma and treated with asthma medication for more than ten years before admission to our clinic

Case Presentatıon

International Library

Findings

Discussion