Endobronchial lipoma: A review with four cases

Endobronchial Lipomas

“…Coughing, hemoptysis, wheezing and dyspnea have been reported [3,9], In our case paroxistic cough fits, frequent episodes of respiratory infections, unilateral wheezing and mucopuru lent expectoration were the most significant. As these tu mors settle in large bronchi (as stated above) it makes them clearly visible during endoscopy.…”

“…These features would explain the CT picture of the different densities found within the same tumor, in which fat is predominant, and would also explain the term 'fatty hamartoma' used by some radiologists to classify this type of tumor. According to some authors [3] it is not clinically significant whether there are small amounts of other tissues involved in the li pomas, and there is no pathogenical reason to classify mixed lipomas as hamartomas and it has been suggested that the term 'lipoma' should apply to every tumor whose main constituent is fat.…”

Endoscopic Management of a Symptomatic Endobronchial Lipoma

“…The most common of these include cough, sputum, hemoptysis, fever, dyspnea and recurrent pneumonia. Recurrent chest infections have been attributed to the mechanical obstruction of the tumour [6,7]. MacArthur et al reported haemoptysis to occurred in 15 of 48 reported cases (31%) and tends to be a late symptom.…”

Endobronchial Lipoma:A Series of Three Cases and the Role of Electrocautery

“…Other tissue such as glandular tissue or bone can be present, leading to the suspicion of a hamartoma. The predominant presence of adipose tissue justifies the diagnosis of lipoma [7]. The size of the lesions reported in the literature varies from less than 1 cm to more than 7 cm [8].…”

“…The tumor is exceptionally suitable for local excision [7]even after longstanding obstruction. In their 1996 review, Fujino et al [4]reported surgical excision in 60 patients and endoscopic treatment in 29 patients.…”