Two Cases of Resection of Endobronchial Hamartoma by Cryotherapy via Flexible Bronchoscopy
의약학 > 내과학
민경훈 , 최종현 , 심재겸 , 오지연 , 이은정 , 이승현 , 이승헌 , 이은주 , 허규영 , 이승룡 , 이상엽 , 김제형 , 신철 , 심재정 , 인광호 , 강경호
대한결핵 및 호흡기학회
대한결핵및호흡기학회 추계학술발표초록집 2012년, 제114권 314(총1페이지)
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    Endobronchial hamartoma is a rare benign tumor derived from peribronchial mesenchymal tissue. It can cause irreversible post-obstructive pulmonary destruction. Early diagnosis and treatment is very important. Traditionally, surgical resection has been considered the standard of treatment for endobronchial hamartoma. However, there is increasing experience using endo-scopic treatment such as Nd-Yag laser and electrocautery with a paucity of reported complications. Endoscopic resection has comparable therapeutic efficacy with surgical resection. Bronchoscopic cryotherapy is a technique in which endobronchial tissue is destroyed by repeated freezing and thawing. It is most often employed as a palliative therapy for airway obstruction due to a malignancy. Other indications for bronchoscopic cryosurgery include airway obstruction due to a benign endobronchial lesion, inoperable microinvasive carcinoma, hemoptysis due to a visible lesion, and the extraction of foreign bodies. We report two cases of endobronchial hamartomas, each diagnosed and definitively treated with bronchoscopic techniques. Endobronchial resection was successfully performed using cryotherapy via flexible bronchoscopy without any complications. Follow-up bron-choscopic examinations excluded residual or recurrent disease.
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