keyword
https://read.qxmd.com/read/38442781/pulmonary-gangliocytic-paraganglioma-an-under-recognized-mimic-of-carcinoid-tumor
#1
JOURNAL ARTICLE
Julia R Naso, Diping Wang, Arthur O Romero, Timothy Leclair, Peter Smit, Jennifer M Boland, Andrew L Folpe, Melanie C Bois
Gangliocytic paragangliomas are rare neoplasms occurring almost exclusively in the ampullary region of the gastrointestinal tract. Although these tumors are not typically considered in the differential diagnosis of primary pulmonary neoplasia, 5 cases of primary pulmonary gangliocytic paragangliomas have been previously reported. Herein we report our experience with 3 additional examples, all referred to our Anatomic Pathology Consultation service. The patients (a 32-year-old man, a 69-year-old woman and a 55-year-old man) each presented with an endobronchial (2 cases) or upper lobe lung mass, ranging from 1...
March 3, 2024: Human Pathology
https://read.qxmd.com/read/38164211/palliative-management-of-a-malignant-tracheoesophageal-fistula-using-repeat-endobronchial-laser-debridement-and-esophageal-stenting
#2
Geraint Berger, Daniel French
A 71-year-old female presented with progressive dysphagia and unexplained weight loss. Computed tomography and esophagogastroduodenoscopy (EGD) revealed invasive esophageal squamous cell carcinoma, which was initially treated with local radiation and esophageal stenting. Over the next year, the patient experienced multiple symptoms and hospital admissions consistent with a malignant tracheoesophageal fistula, despite negative findings on imaging, bronchoscopy, and EGD. Prophylactic antibiotics were initiated based on symptomatology to prevent septic episodes...
December 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/38090036/overview-of-malignant-central-airway-obstruction
#3
REVIEW
Rachel E Powers, Audra J Schwalk
Malignant central airway obstruction (MCAO) impacts many patients with advanced primary lung cancers and metastatic disease to the thorax and may cause substantial symptoms and functional limitations in those affected. Making the diagnosis may be challenging as symptoms are often non-specific but identification is improved with a heightened level of suspicion and newer thoracic imaging modalities. Bronchoscopy plays a crucial role in the diagnosis and management of MCAO and therapeutic interventions may be lifesaving and result in palliation of symptoms...
2023: Mediastinum
https://read.qxmd.com/read/35574045/endobronchial-lipoma
#4
Lakshitha Anbazhakan, Asad Ullah, Rohit Munagala, Rabih Bechara, Islam Elhelf, Nikhil Patel, Nagla Abdel Karim
Endobronchial lipomas are rare benign lung tumors that can cause bronchial obstruction and parenchymal damage. While an uncommon etiology, they are often misdiagnosed due to a clinical presentation similar to obstructive pulmonary pathologies such as COPD and asthma. Upon review of English-language literature, under 50 cases of endobronchial lipomas were documented in the prior 10 years (2011-2021). There are no clear guidelines regarding the management of this particular entity, but typically interventional debulking is the treatment of choice...
2022: Autopsy & Case Reports
https://read.qxmd.com/read/34243188/venovenous-extracorporeal-membrane-oxygenation-to-facilitate-removal-of-endobronchial-tumors
#5
JOURNAL ARTICLE
Bryan Miles, Lucian A Durham, Jonathan Kurman, Lyle D Joyce, David W Johnstone, David Joyce, Paul J Pearson
Short-term extracorporeal membrane oxygenation is a useful adjunct to thoracic procedures. We report the cases of 2 middle-aged men who were supported with venovenous extracorporeal membrane oxygenation to facilitate tumor debulking and recanalization of the carina and mainstem bronchi. Neither patient had major complications or adverse events. These cases suggest that short-term extracorporeal membrane oxygenation is safe in patients undergoing complex resection or debulking of endobronchial lesions.
July 1, 2021: Texas Heart Institute Journal
https://read.qxmd.com/read/32643636/therapeutic-bronchoscopic-interventions-for-nonmalignant-central-airway-obstruction-provide-rapid-and-sustained-improvement-in-symptoms-and-functional-status
#6
JOURNAL ARTICLE
Prajowl Shrestha, Karan Madan, Vijay Hadda, Ashish Upadhyay, Saurabh Mittal, Pawan Tiwari, R M Pandey, Rakesh Garg, G C Khilnani, Randeep Guleria, Anant Mohan
Background: Central airway obstruction (CAO) is a potentially lethal condition that requires urgent endobronchial intervention and may occur due to several nonmalignant causes. The effect of these interventions on clinically relevant outcomes such as symptomatic and functional status over a period of time is, however, sparsely studied. Materials and Methods: Consecutive patients with CAO due to nonmalignant causes and undergoing various therapeutic bronchoscopy procedures were evaluated...
July 2020: Lung India: Official Organ of Indian Chest Society
https://read.qxmd.com/read/32145373/photodynamic-therapy-for-the-treatment-of-tracheobronchial-papillomatosis-a-multicenter-experience
#7
MULTICENTER STUDY
Kristen Glisinski, Jonathan S Kurman, Adam Spandorfer, Nicholas J Pastis, Septimiu Murgu, George Z Cheng
OBJECTIVE: Recurrent respiratory papillomatosis (RRP) causes mucosal wart-like growths of the upper aerodigestive tract, which can undergo malignant transformation. These tumors are difficult to treat, often requiring repeated debridement, which can be associated with high morbidity. Photodynamic therapy (PDT) uses a photosensitizing medication and a topically applied light source to treat early stage endobronchial lung cancer. Most data on the use of PDT in RRP pertain to laryngeal disease...
June 2020: Photodiagnosis and Photodynamic Therapy
https://read.qxmd.com/read/31611127/inflammatory-myofibroblastic-tumor-after-lung-transplant-a-rare-and-aggressive-complication-a-case-report
#8
JOURNAL ARTICLE
Camilla Poggi, Ylenia Pecoraro, Carolina Carillo, Marco Anile, Davide Amore, Sara Mantovani, Giuseppe Naldi, Andreina Pagini, Massimiliano Bassi, Sara Cagnetti, Emilia Mottola, Federica D'Agostino, Jacopo Vannucci, Angelina Pernazza, Giuseppe Cimino, Daniela Savi, Sara Gomellini, Francesco Pugliese, Tiziano De Giacomo, Erino Angelo Rendina, Federico Venuta, Daniele Diso
INTRODUCTION: Malignant diseases are well-known complications after lung transplantation (LT). Among these, inflammatory myofibroblastic tumor (IMT) is a rare neoplasm with a not well-known and often aggressive biological behavior. MATERIAL AND METHODS: We hereby describe 2 cases of cystic fibrosis patients who underwent bilateral sequential LT (BSLT) complicated by IMT. RESULTS: A 26-year-old man presented a right endobronchial lesion 6 months after BSLT...
November 2019: Transplantation Proceedings
https://read.qxmd.com/read/31384203/successful-rigid-bronchoscopic-resection-of-recurrent-pulmonary-inflammatory-myofibroblastic-tumor-after-complete-surgical-resection
#9
Simon Waghchoure, Robert Bradley, McKenzie Sorrell, Rohan Arya
Inflammatory myofibroblastic tumor, previously named inflammatory pseudotumor, is a biologically borderline mesenchymal neoplasm often associated with an inflammatory infiltrate. The incidence of inflammatory myofibroblastic tumor has been found to range from 0.04% to 1.2%, with endobronchial cases being extremely rare. The treatment of choice for pulmonary inflammatory myofibroblastic tumor is complete surgical resection. However, disease recurrence has been reported. Modalities used to treat recurrent and metastatic disease include surgical resection and corticosteroids...
July 2019: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/31286806/non-neural-s-100-negative-bronchial-granular-cell-tumor-causing-acute-respiratory-failure
#10
JOURNAL ARTICLE
Stephanie Y Chen, Arhanti Sadanand, Patrick A Dillon, Mai He, Louis P Dehner, David S Leonard
Introduction : Endobronchial granular cell tumors are uncommon in the pediatric population. Case report : A 9-year-old female presented with respiratory failure due to an endobronchial tumor. After debulking and diagnosis, she underwent thoracotomy with right upper lobe resection and bronchoplasty. Pathology demonstrated an endobronchial S-100 negative granular cell tumor, which to our knowledge, is the first such report in the literature. Conclusion : Endobronchial granular cell tumors may cause obstructive respiratory failure, are amenable to surgery, and may be S-100 negative...
February 2020: Fetal and Pediatric Pathology
https://read.qxmd.com/read/30048419/endobronchial-myxoma-an-uncommon-entity
#11
JOURNAL ARTICLE
Arindam Mukherjee, Ritesh Agarwal, Sahajal Dhooria, Pawan Singh, Amanjit Bal, Harkant Singh, Inderpaul S Sehgal
A 31-year-old woman presented with progressive breathlessness since 1 year. Flexible bronchoscopy revealed a vascular tumor completely occluding the right main bronchus. A diagnosis of primary endobronchial myxoma was made. Tumor debulking was performed using rigid bronchoscopy. This enabled right lower lobectomy. A literature search yielded 12 cases of primary pulmonary myxoma, and only 2 previous reports of endobronchial myxoma. Most tumors were incidentally detected and were cured surgically. Endobronchial myxomas are rare and are usually asymptomatic...
October 2018: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/29701372/unusual-behavior-of-a-lung-inflammatory-myofibroblastic-tumor-case-report
#12
JOURNAL ARTICLE
Cristina Rodrigues, Daniel Cabral, Teresa Almodovar, Analisa Ribeiro, Diogo Delgado, Leonor Mota, Samuel Mendes, Magda Alvoeiro, Carolina Torres, Telma Calado, Mariana Antunes, Francisco Félix
INTRODUCTION: 55 years old, male patient. History of heavy smoking (65 UMA) and COPD. Admitted to hospital due to a left pneumonia. Thoracic CT and PET-Scan, showed left lower lobe mass measuring 92x89 mm (SUVmax 49). Several mediastinal node groups presented increased uptake of FDG. A fiberoptic bronchoscopy was performed. Citology of the bronchoalveolar lavage suggested a squamous carcinoma. EBUS of node stations 4R, 4L e 7 without evidence of malignancy. METHODS: The case was taken to a multidisciplinary meeting staged as IIIA (T3N2M0)...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://read.qxmd.com/read/29054306/two-stage-surgery-without-parenchyma-resection-for-endobronchial-carcinoid-tumor
#13
JOURNAL ARTICLE
Oleg Pikin, Andrey Ryabov, Victor Sokolov, Vladimir Glushko, Konstantin Kolbanov, Larisa Telegina, Ali Amiraliev, Vitaliy Barmin
BACKGROUND: The aim of the study was to evaluate the efficacy of a combined approach of endoscopic resection followed by pure bronchoplasty without any pulmonary resection in patients with endobronchial carcinoids. METHODS: We applied a two-stage technique, endoscopic resection first followed by pure bronchoplasty, to 25 patients (10 men, 15 women) with endobronchial carcinoid tumors. The median age was 32.4 years (range, 19 to 64). The indications for this technique were pure endobronchial carcinoid without lymph node involvement...
December 2017: Annals of Thoracic Surgery
https://read.qxmd.com/read/28614224/a-case-report-of-local-treatment-of-inoperable-squamous-cell-lung-carcinoma-with-convex-probe-endobronchial-ultrasound-guided-intratumoral-injection-of-cisplatin-in-a-patient-with-severe-copd
#14
JOURNAL ARTICLE
Xiaochen Li, Xiansheng Liu, Xiaoling Rao, Jianping Zhao, Yongjian Xu, Min Xie
RATIONALE: Endobronchial ultrasound as a powerful diagnostic technology can also be used to perform intratumoral chemotherapy for extraluminal tumor. PATIENT CONCERNS: A 69-year-old man with chronic obstructive pulmonary disease (COPD) presented with worsening dyspnea. A pulmonary function test showed severe airway obstruction and that forced expiratory volume in 1 s was 43% of the predicted value after a bronchodilator. DIAGNOSES: A bronchoscopy and histopathological analyses revealed a squamous cell carcinoma mostly located outside of the lumen with central airway obstruction...
June 2017: Medicine (Baltimore)
https://read.qxmd.com/read/26557910/bronchoscopic-debulking-for-endobronchial-malignancy-predictors-of-recanalization-and-recurrence
#15
JOURNAL ARTICLE
Scott Chih-Hsi Kuo, Yu-Lun Lo, Chun-Liang Chou, Fu-Tsai Chung, Shu-Min Lin, Chien-Ying Liu, Han-Pin Kuo
BACKGROUND: Central airway obstruction related to endobronchial malignancy is one of the most difficult oncological complications and requires efficient palliative intervention. METHODS: Fifty-three consecutive patients with unresectable endobronchial malignancy receiving bronchoscopic cryotherapy as palliative treatment were retrospectively reviewed. Efficiency was evaluated by the improvement of performance status (PS), and the best achievement of tumor removal was assessed as complete or partial removal...
November 2015: Thoracic Cancer
https://read.qxmd.com/read/25590490/cryotechnology-in-diagnosing-and-treating-lung-diseases
#16
REVIEW
Rade Tomic, Eitan Podgaetz, Rafael S Andrade, H Erhan Dincer
Cryotechnology has been used in treating lung cancer for many years, now it is emerging to have a new indication in diagnosing lung diseases. Cryoprobe transbronchial lung biopsy has been introduced into clinical practice as a new technique, providing a larger biopsy specimen, potentially improving the diagnostic yield of transbronchial biopsies in parenchymal lung diseases. Although recent small pilot studies suggest that cryotransbronchial lung biopsies are comparable to conventional transbronchial biopsies in terms of diagnostic yield and safety profile in lung transplant patients, cryoprobe transbronchial lung biopsy is still being evaluated and its role in clinical practice is not well defined...
January 2015: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/25590487/endobronchial-glomus-tumor
#17
JOURNAL ARTICLE
Muhammad R S Rashid Ali, Kunji K S Kannan
We report a case of a 52-year-old patient who had undergone a bladder resection and an ileal conduit for a transitional cell carcinoma. He then presented with a short history of hemoptysis 3 months later. Rigid bronchoscopy was performed revealing an endobronchial lesion, which was removed via laser and debulking method without complications. Histopathologic examination confirmed it to be a benign endobronchial glomus tumor. On the basis of our literature search, this is the 34th reported case of glomus tumor arising from the respiratory tract, seventh reported case of an endobronchial glomus tumor treated bronchoscopically, and the first possibly coincidental finding in relation to a patient with primary transitional bladder cell carcinoma...
January 2015: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/25590482/critical-airway-obstruction-challenges-in-airway-management-and-ventilation-during-therapeutic-bronchoscopy
#18
JOURNAL ARTICLE
Andreas Espinoza, Kirill Neumann, Per Steinar Halvorsen, Arve Sundset, Johny Kongerud, Erik Fosse
BACKGROUND: Endobronchial interventions are used to alleviate symptoms of airway stenosis. The ventilatory management may be challenging during these procedures, and may influence the choice of airway device. We report our experiences from 902 procedures. METHODS: Patients undergoing interventional bronchoscopy procedures were consecutively registered from 1999 to 2012. Critical airway obstruction (CAO) was defined as stridor, tracheal diameter <5 mm, stenosis of both the main bronchi, or clots/tumor fragments occluding the trachea or both main bronchi...
January 2015: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/25334838/electrocautery-snare-resection-and-argon-plasma-coagulation-of-endobronchial-kaposi-sarcoma-presenting-as-an-obstructing-tumor
#19
Alfred Papali, Ashutosh Sachdeva, Edward Pickering, Nirav Shah
SESSION TITLE: Bronchology/Interventional Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Kaposi sarcoma (KS) remains the most common AIDS-associated neoplasm. Endobronchial KS typically appears as slightly raised, violaceous lesions in the sub-mucosa of the endobronchial wall and is usually associated with similar mucocutaneous lesions elsewhere on the body. We herein describe an unusual case of KS presenting as an isolated obstructing endobronchial tumor that was effectively resected using electrocautery snare and argon plasma coagulation (APC)...
October 1, 2014: Chest
https://read.qxmd.com/read/25334836/the-initial-examination-of-endobronchial-ultrasound-guided-bronchial-ethanol-injection-therapy-ebus-beit-for-endobronchial-tumors
#20
Shinichi Iwamoto, Hibiki Kanda, Mitsuhiro Tada, Emiko Nishikawa, Toru Kadowaki, Masahiro Kimura, Kanako Kobayashi, Toshikazu Ikeda, Shuichi Yano
Bronchology/Interventional Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Bronchial ethanol injection therapy is a palliative therapy for air way stenosis caused by lung cancer. It is effective for endobronchial polypoid tumors but ineffective for extrawall tumors. There were no indication of effects resulting from ethanol injection or air way leakage of ethanol. We performed an initial study to examine the ability of endobronchial ultrasound-guided bronchial ethanol injection therapy (EBUS-BEIT) to reduce the blood flow and volume of an endobronchial tumor causing tracheal stenosis; percutaneous ethanol injection therapy (PEIT) was also performed for a liver cell tumor and a parathyroid tumor...
October 1, 2014: Chest
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