Resection of Endobronchial Chondroid Hamartoma by Electrocautery via Flexible Fiberoptic Bronchoscopy

利用可曲式纖維性支氣管鏡電燒灼術切除支氣管內軟骨性過誤瘤

陳冠元(Gaun-Yuan Chen) ； 熊得志(Te-Chih Hsiung) ； 陳豪成(Hao-Cheng Chen) ； 陳澤卿(Tee-Ching Chen) ； 黃建達(Chien-Da Huang) ； 郭漢彬(Han-Pin Kuo)

《胸腔醫學》 24卷5期 (2009/10) Pp. 300-306

https://doi.org/10.29806/TM.200910.0009

摘要

支氣管內軟骨性過誤瘤(chondroid hamartoma)是一種罕見的良性腫瘤。我們在此發表一位患有軟骨性過誤瘤的72歲男性，經由可曲式纖維性支氣管鏡電燒灼術成功切除腫瘤。這位病人因胸部X光發現有右下肺葉病變而來本院求診。經電腦斷層掃描顯示在右下肺的上分支節段有一個像腫瘤的病變。支氣管鏡檢查發現有一個表面平滑的支氣管內腫瘤，而此腫瘤幾乎把整個上分支節段的支氣管洞口阻塞。經由切片病理組織報告此腫瘤為一軟骨性過誤瘤。於是我們利用可曲式纖維性支氣管鏡電燒灼術將此支氣管內的軟骨性過誤瘤切除。五個月後，我們再利用支氣管鏡追蹤；發現原本被支氣管內過誤瘤阻塞的上分支節段已經暢通。藉由此案例我們可以知道：利用可曲式纖維性支氣管鏡電燒灼術切除良性的支氣管內腫瘤是一種有效且安全的技術。

關鍵字

支氣管內過誤瘤 ； 電燒灼術 ； 可曲式纖維性支氣管鏡

並列摘要

Endobronchial hamartoma is a rare benign tumor. We present herein the case of a 72-year-old male with endobronchial chondroid hamartoma that was managed by electrocautery using a flexible fiberoptic bronchoscope. The patient's chief complaint was a right lower lobe tumor noted at a regional hospital. Chest computed tomography (CT) scan revealed a mass-like lesion in the superior segment of the right lower lobe (RLL). Bronchoscopy disclosed an endobronchial tumor with a smooth surface and nearly total occlusion of the superior segment of the RLL. Pathology studies of the bronchial biopsies revealed endobronchial chondroid hamartoma. The tumor was successfully resected and ablated by electrocautery with a snare probe via flexible fiberoptic bronchoscopy. Patency of the superior segment of the RLL was still noted after 5 months. Electrocautery via flexible fiberoptic bronchoscopy is an effective and safe technique for resecting benign endobronchial tumors.

並列關鍵字

endobronchial hamartoma ； electrocautery ； flexible fiberoptic bronchoscopy