Hamartomas are the most common benign tumors of the lung. It is most common peripherally in the parenchyma as solitary nodule or endobronchial lesion. Endobronchial form may cause obstruction of airway, atelectasis and recurrent pneumonia. Endobronchial hamartomas may be treated by surgical intervention or bronchoscopic excision (with rigid or flexible procedures). We are presenting a case of endobronchial hamartoma successfully treated with bronchoscopic electrocautery without a need for surgical removal.

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Treatment of symptomatic endobronchial hamartoma by bronchoscopy.

Rev Fac Cien Med Univ Nac Cordoba

December 2024

Santa Casa da Misericórdia do Porto.

Hamartomas are benign tumors characterized by disorganized tissue native to a specific anatomical location. We present the case of a 61-year-old male with a history of COVID-19 infection who presented with a persistent cough. Chest tomography revealed an endobronchial lesion, which led to further investigation with a bronchoscopy.

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Article Synopsis
  • Endobronchial hamartoma is a benign tumor made up of fat, cartilage, and bone tissue, which can either show no symptoms or lead to respiratory issues like cough and pneumonia.
  • A case study presented a 68-year-old male who experienced a persistent cough for four years but received various treatments and was misdiagnosed with anxiety disorder before further investigation.
  • After conducting a chest CT and bronchoscopy, the hamartoma was identified and successfully removed, leading to significant relief from his coughing symptoms.
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Pulmonary hamartomas (PH) are rare but are the most common benign tumors found in the lungs. They are slow-growing and are usually found incidentally on chest imaging during the sixth decade of life. Approximately 10% of pulmonary hamartomas are endobronchial.

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Most of the pulmonary endobronchial lesions are malignant in origin. In rare instances, benign lesions such as endobronchial hamartoma may be the cause of the endobronchial tree obstruction. We present the case of a 57-year-old male patient from North Africa who presents with a history of a 5-month cough.

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