A Case of Concomitant Pulmonary Hamartoma and Lung Cancer

Objective & Hypothesis:A 59-year-old male without respiratory symptoms was referred to our hospital because of an abnormal shadow that had been detected by chest x-ray during a medical examination for other reason.

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Key Findings & Data:Computed tomography of the thorax showed a 25x20 mm in size nodule in the right upper lobe posterior segment and a 25x25 mm in size nodule in the left lower lobe posterior segment.

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Conclusion & Impact:Five years after operation, the patient remained diseasefree without any progression.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

A 59-year-old male without respiratory symptoms was referred to our hospital because of an abnormal shadow that had been detected by chest x-ray during a medical examination for other reason. Chest x-ray showed nodules in the right upper zone and left lower zone. Computed tomography of the thorax showed a 25x20 mm in size nodule in the right upper lobe posterior segment and a 25x25 mm in size nodule in the left lower lobe posterior segment. Fiberoptic bronchoscopy revealed a normal endobronchial appearance. The diagnosis of nonsmall cell carcinoma was established with the examination of the transthoracic fine needle aspiration biopsy taken from the lesion in the right upper lobe. On FDG-PET, SUV max values of the right and left side lesions were 14 and ametabolic, respectively. A left mini thoracotomy was performed and the nodule in the left lower lobe was removed. Pathological diagnosis of this nodule was hamartoma. Later, the right upper lobectomy was performed via a right thoracotomy. Pathological diagnosis of this lesion was adenocarcinoma. Five years after operation, the patient remained diseasefree without any progression.

Özet

Elli dokuz yaşında, solunum sistemi yakınması olmayan erkek hasta, başka nedenle çekilen akciğer grafisinde lezyon saptanması üzerine merkezimize sevk edilmiş. Arka-ön akciğer grafisinde sağ üst zonda ve sol alt zonda nodül saptandı. Bilgisayarlı toraks tomografisinde sağ üst lob posterior segmentte 25x20 mm, sol alt lob posterior segmentte 25x25 mm boyutlarında nodüller görüldü. Fiberoptik bronkoskopi incelemesinde endobronşiyal sistem normal olarak değerlendirildi. Sağ üst lobdaki lezyona transtorasik iğne aspirasyonu ile küçük hücreli dışı akciğer kanseri tanısı konuldu. PET-BT incelemesinde SUVmax değeri sağdaki lezyon için 14, soldaki lezyon için ametabolik olarak rapor edildi. Sol mini torakotomi ile nodül ekstirpasyonu yapıldı. Patolojik tanı hamartom olarak rapor edildi. Daha sonra sağ torakotomi ile sağ üst lobektomi uygulandı. Patolojik tanı adenokarsinom olarak bildirildi. Beş yıl sonra yapılan kontrolünde patolojik bulgu saptanmadı.

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Cite This Article

HACIÖMEROĞLU, O., HORZUM, G. E., YILMAZ, A., YILMAZ, E., ALTUNBEY, S. A., YILMAZ, A. (2017). A Case of Concomitant Pulmonary Hamartoma and Lung Cancer. Respiratory Case Reports, Cilt: 6 - Sayı: 1, 48–51. https://ajindex.com/articles/302476

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