대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Courtesy

St. Vincents Hospital, Catholic University

Discussion

Rare, 0.1% of all pulmonary tumor

Clinically
- middle-aged (obese) men who smoke
- sx & sn of atelectasis, recurrent pneumonia, or bronchiectais due to bronchial obstruction

Pathologically
- arising from submucosal or intersitial adipose tissue of central bronchi
- many tumors contain a mixture of myxomatous, fibroblastic, chondroid, smooth m. element - variant of hamartoma?

Radiographically
- Atelectasis or obstructive pneumonitis
- SPN
- CT: fat attenuation ?conclusive evidence

Treatment
- endoscopic removal
- large tumor/parenchymal destruction - surgical resection

Significance
- May cause severe parenchymal damage and significant morbidity due to chronic recurrent pneumonia
- Bronchial washing: atypical cells due to chronic irriatation and inflm, leading to erroneous Dx of lung ca.

Keywords

Airway, Benign tumor,