Two Cases of Diagnosis and Removal of Endobronchial Hamartoma by Cryotherapy via Flexible Bronchoscopy

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½ÉÀç°â(Sim Jae-Kyeom) - Korea University College of Medicine Department of Internal Medicine
ÃÖÁ¾Çö(Choi Jong-Hyun) - Korea University College of Medicine Department of Internal Medicine
¿ÀÁö¿¬(Oh Jee-Youn) - Korea University College of Medicine Department of Internal Medicine
Á¶À翵(Cho Jae-Young) - Korea University College of Medicine Department of Internal Medicine
¹®À»¼±(Moon Eul-Sun) - Korea University College of Medicine Department of Internal Medicine
¹ÎÇý¼÷(Min Hye-Sook) - Korea University College of Medicine Department of Internal Medicine
À̺´Çö(Lee Byung-Hyun) - Korea University College of Medicine Department of Internal Medicine
¹Ú¹Î¼±(Park Min-Seon) - Korea University College of Medicine Department of Internal Medicine
Çã±Ô¿µ(Hur Gyu-Young) - Korea University College of Medicine Department of Internal Medicine
À̼º¿ë(Lee Sung-Yong) - Korea University College of Medicine Department of Internal Medicine
½ÉÀçÁ¤(Shim Jae-Jeong) - Korea University College of Medicine Department of Internal Medicine
°­°æÈ£(Kang Kyung-Ho) - Korea University College of Medicine Department of Internal Medicine
¹Î°æÈÆ(Min Kyung-Hoon) - Korea University College of Medicine Department of Internal Medicine

Abstract

Although endobronchial hamartoma is a rare benign tumor, most patients with endobronchial hamartoma have respiratory symptoms such as obstructive pneumonia, hemoptysis, cough, or dyspnea due to bronchial obstruction. It can cause irreversible post-obstructive pulmonary destruction, thus early diagnosis and treatment is very important. Recently, there have been cases of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and electrocautery procedures for bronchoscopic treatment of malignant or benign central airway obstruction with comparable therapeutic efficacy and few complications. Bronchoscopic cryotherapy is a newly developed technique for management of central airway obstruction. Moreover, it provides diagnostic methods with improving diagnostic yield and safety. We report two cases of endobronchial hamartoma, each diagnosed and definitively treated with bronchoscopic techniques. Endobronchial biopsy and removal was successfully performed by cryotherapy via flexible bronchoscopy without notable complications. Follow-up bronchoscopic examinations excluded residual or recurrent disease.

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Bronchial Neoplasms, Hamartoma, Bronchoscopy, Cryotherapy
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