Obturierendes endobronchiales Lipom - bronchoskopische Therapie

Zusammenfassung:

Es wird der Fall eines 77jährigen Patienten, bei dem ein endobronchiales Lipom eine Dystelektase der Lingula verursacht hat, beschrieben. Das Lipom wurde endoskopisch mit einer Diathermieschlinge vollständig reseziert. Es wird ein Überblick über Häufigkeit, klinische Charakteristika und Therapie endobronchialer Lipome gegeben.

We report on the case of a 77-year old man in whom a lipoma caused occlusion of the lingular bronchus with consecutive dystelectasis. The lipoma was resected via the bronchoscope with a hot snare. The incidence, clinical characteristics and treatment of endobronchial lipomas are described.

Literatur

• 1 Destito C, Romagnoli A, Carlucci I, Mercuri M, Vulpio C, Wiel Marin A. Endobronchial lipoma: endoscopic resection or surgical excision? Report of a case and review of the literature.  G Chir (Italy). 1995;  16 445-447
• 2 Dogan R, Unlu M, Gungen Y, Moldibi B. Endobronchial lipoma.  Thorac Cardiovasc Surg. 1988;  8 241-243
• 3 Hess J L. Chromosomal translocation in benign tumors: the HMGI proteins.  Am J Clin Pathol. 1988;  109 251-261
• 4 Hirata T, Reshad K, Itoi K, Muro K, Akiyama J. Lipomas of the peripheral lung - a case report and review of the literature.  Thorac Cardiovasc Surg. 1989;  37 385-387
• 5 Kazmierczak B, Wanschura S, Rosigkeit J, Meyer-Bolte K, Uschinsky K, Haupt R, Schoenmakers E F, Bartnitzke S, Ven W J, Bullerdiek J. Molecular characterization of 12q14-15 rearrangements in three pulmonary chondroid hamartomas.  Cancer Res. 1995;  55 2497-2499
• 6 Kazmierczak B, Dal Cin P, Wanschura S, Bartnitzke S, Berghe H, Bullerdiek J. Cloning and molecular characterization of part of a new gene to HMGIC in mesenchymal tumors.  Am J Pathol. 1998;  152 431-435
• 7 Muller L C, Pointner R, Schmid K W, Salzer G M. Endoscopic removal of a pedunculated bronchial lipoma by means of the hot snare.  Endoscopy. 1989;  21 97-98
• 8 Poirier N C, Perrault L P, Beauchamp G, Filion R. Endoscopic removal of a right lower lobe bronchial lipoma in a high-risk patient: a case report.  Can J Surg. 1994;  37 411-414
• 9 Saito H, Nishibori T, Kourakata H, Sato K, Ebe T. Bronchial lipoma with extrabronchial growth.  Nihon Kokyuki Shikkan Gakkai Zasshi. 1998;  36 408-412
• 10 Sekine I, Kodama T, Yokose T, Nishiwaki Y, Suzuki K, Goto K, Nagai K, Kuriyama T. Rare pulmonary tumors - a review of 32 cases.  Oncology. 1998;  55 431-434
• 11 Shah H, Garbe L, Nussbaum E, Dumon J F, Chiodera P L, Cavaliere S. Benign tumors of the tracheobronchial tree. Endoscopic characteristics and role of the laser resection.  Chest. 1995;  107 1744-1751
• 12 Simmers T A, Jie C, Sie B. Endobronchial lipoma posing as carcinoma.  Neth J Med. 1997;  51 143-145
• 13 Suzuki N, Takizawa H, Yamaguchi M, Matsuzaki G, Kiyosawa H, Dohi M, Ishii A, Suko M, Oka T, Ito K. A case of asymptomatic endobronchial lipoma followed for 4 years.  Nippon Kyobu Shikkan Gakkai Zasshi. 1992;  30 1883-1897
• 14 Yokozaki M, Kodama T, Yokose T, Nishimura M, Yoshida J, Mizokami H, Nagai K. Endobronchial lipoma: a report of three cases.  Jpn J Clin Oncol. 1996;  26 53-57