Endobronchial hamartoma in a young COVID-19 symptomatic woman. Radical endoscopic treatment with a disposable bronchoscope. Case Report

Submitted: February 26, 2021
Accepted: November 11, 2021
Published: December 16, 2021
Abstract Views: 1296
PDF: 400
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Pulmonary hamartomas represent the most frequent family of benign lung tumors that typically involve the lung parenchyma and only rarely grow as endobronchial tumors. The elective treatment of endobronchial hamartoma is the bronchoscopic resection, and in those cases in which tumor extension and localization makes it not possible, surgical treatment must be evaluated. Patients with symptomatic COVID-19, hospitalized, frequently undergo a chest CT scan and in some cases, occasional findings may emerge, requiring diagnostic investigations such as bronchoscopy and interventional pulmonology procedures. Therefore, in such a delicate pathological condition, such as COVID-19, the need to perform bronchoscopy and interventional pulmonology procedures, minimizing the risk of viral transmission and ensuring necessary assistance, represents a great challenge for pulmonologists. In this article authors describe, for the first time in literature, a rare case of endobronchial hamartoma, radically resected using a single use bronchoscope, in a young female patient hospitalized for symptomatic COVID-19.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Kim JH, Jeong GM, Park KH, et al. Large endobronchial hamartoma successfully resected by snare through flexible bronchoscopy. Ann Thorac Surg 2015;100:1107-9. DOI: https://doi.org/10.1016/j.athoracsur.2014.11.063
Mondello B, Lentini S, Buda C, et al. Giant endobronchial hamartoma resected by fiberoptic bronchoscopy electrosurgical snaring. J Cardiothorac Surg 2011;6:97. DOI: https://doi.org/10.1186/1749-8090-6-97
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev 2020;4:CD011621. DOI: https://doi.org/10.1002/14651858.CD011621.pub4
Wahidi MM, Lamb C, Murgu S, et al. American Association for Bronchology and Interventional Pulmonology (AABIP) statement on the use of bronchoscopy and respiratory specimen collection in patients with suspected or confirmed COVID-19 infection. J Bronchology Interv Pulmonol 2020;27:e52-e54. DOI: https://doi.org/10.1097/LBR.0000000000000681
Group of Interventional Respiratory Medicine, Chinese Thoracic Society. [Expert consensus for bronchoscopy during the epidemic of 2019 novel coronavirus infection (Trial version)].[Article in Chinese]. Zhonghua Jie He He Hu XiZaZhi 2020;43:E006.
Pritchett MA, Oberg CL, Belanger A, et al. Society for Advanced Bronchoscopy Consensus Statement and Guidelines for bronchoscopy and airway management amid the COVID-19 pandemic. J Thorac Dis 2020;12:1781-98. DOI: https://doi.org/10.21037/jtd.2020.04.32
Guarino C, Cesaro C, Fragranza F, et al. [La broncoscopia in era COVID-19. Modello organizzativo e procedure operative nell’esperienza clinica dell’A.O. dei Colli, Napoli].[Article in Italian]. Rass Patol Appar Respir 2020;35:173-8.
Cosio BG, Villena V, Echave-Sustaeta J, et al. Endobronchial hamartoma. Chest J 2002;122:202–5. DOI: https://doi.org/10.1378/chest.122.1.202
Liu C, Wang JJ, Zhu YH, Chen C. Successful use of snare electrocautery via flexible fiberoptic bronchoscopy for removal of endobronchial hamartoma causing chronic lungatelectasis and mimicking malignancy. Ther Adv Respir Dis 2017;11:435-8. DOI: https://doi.org/10.1177/1753465817736745
Abdel Hady SM, Elbastawisy SE, Hassaballa AS, Elsayed HH. Is surgical resection superior to bronchoscopic resection in patients with symptomatic endobronchial hamartoma? Interact Cardiovasc Thorac Surg 2017;24:778-82. DOI: https://doi.org/10.1093/icvts/ivw443

How to Cite

Guarino, Carmine, Cristiano Cesaro, Giuseppe La Cerra, Raffaella Lucci, Flavio Cesaro, Enzo Zamparelli, Gianfranco Gaglione, Agostina Pontarelli, Annunziata De Rosa, and Roberto Parrella. 2021. “Endobronchial Hamartoma in a Young COVID-19 Symptomatic Woman. Radical Endoscopic Treatment With a Disposable Bronchoscope. Case Report”. Monaldi Archives for Chest Disease 92 (3). https://doi.org/10.4081/monaldi.2021.1822.