Laser-Assisted Resection of a Giant Pulmonary Chondrohamartoma - A Case Report

Abstract

A rare case of a giant pulmonary chondromatous hamartoma (15 cm, 1350 g) resected by a new laser system (Nd:YAG, 1318 nm, 40 W) is presented. The laser management of a hamartoma resection--the largest reported to date in the literature--is presented here.

Giant hamartoma of lung presented with massive hemoptysis: A rare case report and review of the literature

“…Majority of the hamartomas originate from periphery of lung within the parenchyma, therefore even these huge and giant hamartomas are most commonly asymptomatic. 4,5 Very rarely, a hamartoma in lung can be presented with symptoms such as hemoptysis, cough, or chest pain. Those presenting with the above-mentioned symptoms are either endobronchial or are so huge that have pressure effect on adjacent parenchyma of lung, bronchus, or major vessels.…”

“…Table 1 shows the details of the characteristics in the 18 reported giant hamartomas (>8 cm) since 15 years ago. [1][2][3][4][5][6][7][8][9][10][11][12][13][14]19 The best method of preoperative diagnosis is CT scan, and the final diagnosis is based on histopathologic findings. 11 The presence of calcification in a well-defined pulmonary mass without invasion is highly in favor of pulmonary hamartoma, as this tumor is the most common benign tumor of the lung.…”

“…12 There are also case reports of laser-assisted ablation of tumor. 5 With the various treatments, all of the cases of giant hamartoma of lung have been reported to have a very good prognosis with uneventful postoperative period. No recurrence has been reported.…”

Riesiges Hamartom der Lunge

“…Über Hamartome mit Riesencharakter wurde in einzelnen Kasuistiken berichtet [4,6,8,9]. Diese Riesenhamartome können als extrapulmonale Tumoren imponieren.…”

Video-Assisted Lung Resection Using Radiofrequency Ablation in a Porcine Model

“…Stapling devices, harmonic scalpel, Cavitron ultrasonic surgical aspirator, different types of monopolar and bipolar diathermy devices, laser, and argon beam coagulator are some of the currently available methods used to minimize intraoperative blood loss and air leak. Each one of them has been proven to have certain advantages and limitations; the ideal tool is yet to be found [12][13][14][15][16][17].…”