Monaldi Archives for Chest Disease (Dec 2021)

Endobronchial hamartoma in a young COVID-19 symptomatic woman. Radical endoscopic treatment with a disposable bronchoscope. Case Report

  • Carmine Guarino,
  • Cristiano Cesaro,
  • Giuseppe La Cerra,
  • Raffaella Lucci,
  • Flavio Cesaro,
  • Enzo Zamparelli,
  • Gianfranco Gaglione,
  • Agostina Pontarelli,
  • Annunziata De Rosa,
  • Roberto Parrella

DOI
https://doi.org/10.4081/monaldi.2021.1822

Abstract

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Pulmonary hamartomas represent the most frequent family of benign lung tumors that typically involve the lung parenchyma and only rarely grow as endobronchial tumors. The elective treatment of endobronchial hamartoma is the bronchoscopic resection, and in those cases in which tumor extension and localization makes it not possible, surgical treatment must be evaluated. Patients with symptomatic COVID-19, hospitalized, frequently undergo a chest CT scan and in some cases, occasional findings may emerge, requiring diagnostic investigations such as bronchoscopy and interventional pulmonology procedures. Therefore, in such a delicate pathological condition, such as COVID-19, the need to perform bronchoscopy and interventional pulmonology procedures, minimizing the risk of viral transmission and ensuring necessary assistance, represents a great challenge for pulmonologists. In this article authors describe, for the first time in literature, a rare case of endobronchial hamartoma, radically resected using a single use bronchoscope, in a young female patient hospitalized for symptomatic COVID-19.

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