Lipoma de traqueia simulando doença pulmonar obstrutiva

Mota, Vinícius Turano; Maia, José Geraldo Soares; Barbosa, Ana Teresa Fernandes; Fernandes, Diego Franco Silveira; Rocha, Emanuelly Botelho

doi:10.1590/s1806-37132010000100021

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…It may be a completely solitary tumor or accompanied by pneumonia, atelectasis, aspergillosis, emphysema, and bronchiectasis. 1 , 10 – 13 , 20 , 21 There is no calcification and soft tissue components in this tumor, which is significantly different from that of the fat-containing hamartoma.…”

Section: Discussionmentioning

confidence: 81%

“…As to whether their clinical value is related to endobronchial lipoma, it needs to be confirmed by further research. 10 – 14 …”

Section: Discussionmentioning

confidence: 99%

“…As to whether their clinical value is related to endobronchial lipoma, it needs to be confirmed by further research. [10][11][12][13][14] Endobronchial lipoma is very rare and has no specific clinical symptom. It can be easily missed or misdiagnosed as pneumonia, atelectasis, or chronic obstructive pulmonary disease by conventional X-ray examination.…”

Section: Discussionmentioning

confidence: 99%

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An unexpected encounter and outcome between endobronchial lipoma and carcinoma: a case report and literature review

Yang,

Liu,

Chen

et al. 2023

Ther Adv Respir Dis

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Bronchial lipoma is a rare benign tumor of the lung, which is often misdiagnosed due to concomitant pulmonary diseases. In addition, the coexistence of endobronchial lipoma and lung cancer is extremely unusual. To date, no related computed tomography (CT) images have been reported. The patient was a 53-year-old man, who was admitted to our hospital with cough, yellow phlegm, and fever for 1 week. The CT image showed an irregular mass in the medial segment of the right middle lobe (B4a) with surrounding ground glass opacity, and another solid nodule in the right lower lobe (B6b). Unfortunately, after 2 weeks of anti-inflammatory treatment, the bronchial invasion of the B4a nodule did not decrease significantly, so further bronchoscopy was carried out and tumor resection was performed using endoscopic mucosal resection with a ligation device (EMR-L). During the follow-up 4 months, it was found that the B6b nodule was marked enlargement and then removed. The lesions of the B4a and B6b were confirmed as endobronchial lipoma and squamous cell carcinoma (T1aN0M0) by histopathology and immunohistochemical staining, respectively, and no postoperative radiotherapy or chemotherapy was performed. Regrettably, after 29 months of follow-up, we observed recurrence and slow enlargement of the lipoma in its original location, progressive emphysema in both lungs, and solitary chest wall metastasis from the B6b squamous cell carcinoma that had been resected. Therefore, endobronchial endoscopy resection should be carefully selected for larger endobronchial lipoma. If it is accompanied by early squamous cell carcinoma (T1aN0M0), we still recommend active postoperative chemoradiotherapy.

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Section: Discussionmentioning

confidence: 81%

“…As to whether their clinical value is related to endobronchial lipoma, it needs to be confirmed by further research. 10 – 14 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An unexpected encounter and outcome between endobronchial lipoma and carcinoma: a case report and literature review

Yang,

Liu,

Chen

et al. 2023

Ther Adv Respir Dis

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“…Habitualmente, os pacientes apresentam sintomas respiratórios que simulam doenças pulmonares obstrutivas e podem ser tratados, erroneamente, como portadores de asma ou de doença pulmonar obstrutiva crônica. A resposta inadequada ao tratamento geralmente leva a suspeita de obstrução de vias aéreas principais, que pode ser confirmada através de fibrobroncoscopia (MOTA et al, 2010) Os tumores primários traqueais são neoplasias raras, encontradas em cerca de 0,1% das doenças malignas e são 180 vezes menos frequentes que os de pulmão. São representados, na maioria das vezes, por dois principais tipos histológicos: carcinoma de células escamosas e carcinoma adenoide cístico (FARROW, 2006).…”

Section: Introductionunclassified

O auxílio da imagenologia no diagnóstico de tumores endotraqueais em cães: relato de caso

Zakimi

Silva²,

Kirchheimer³

et al. 2017

Rev. Educ. Cont. Med. Vet. Zootec.

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A traqueia é uma estrutura tubular que se estende desde o corpo do áxis até a quinta vértebra torácica, onde se bifurca nos brônquios principais sobre a base do coração. Embora seja raro em cães e gatos, existem relatos de massa traqueal intraluminal, seja não neoplásica, benigna ou massas neoplásicas malignas, que podem, inclusive, causar obstrução dinâmica da traqueia. A radiografia é uma técnica bastante útil para identificação e definição de uma doença de trato respiratório inferior, incluindo técnicas contrastadas que delineiam a traqueia. Neste relato de caso, uma fêmea da espécie canina, raça dogue alemão, com 2 anos de idade, foi atendida para realização de um exame radiográfico do tórax, cuja queixa principal era tosse intensa. Realizaram-se radiografias simples e contrastadas, em que foi observada estrutura radiopaca em região da traqueia. Após o exame radiográfico, realizou-se a traqueobroncoscopia, podendo ser visibilizada uma massa intraluminal na traqueia, com retirada de fragmento para análise histopatológica, podendo assim ser diagnosticado leiomioma. Com isso, mostra-se a importância dos exames de imagem em casos de diagnósticos de tumores endotraqueais.

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