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Rare disease
Case report
Incidental endobronchial hamartoma in a patient with enchondroma
  1. Arun Kadamkulam Syriac1,
  2. Amrit Ved Bhaskarla1,
  3. Mohamed Elrifai2 and
  4. Abdul H Alraiyes3,4
  1. 1 Department of Internal Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA
  2. 2 Cleveland Clinic, Cleveland, Ohio, USA
  3. 3 Cancer Treatment Centers of America Chicago, Zion, Illinois, USA
  4. 4 Department of Pulmonary Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA
  1. Correspondence to Dr Arun Kadamkulam Syriac, drsyriac{at}gmail.com, arun.syriac{at}rosalindfranklin.edu

Abstract

Hamartomas are the most common type of benign tumours of the lung, constituting a small portion of all lung neoplasms. Hamartomas are rare benign tumours composed of multiple mesenchymal cell lines. Two clinical types have been defined according to the location: intraparenchymal and endobronchial, more frequently the former. We present a case of endobronchial hamartoma causing significant blockage of the right middle lobe. The finding was incidental on a CT scan of the chest done for staging purposes for a large mixed lytic and sclerotic lesion that was found within the proximal-mid portion of the tibial diaphysis. The endobronchial lesion was removed by hot electrocautery snare during bronchoscopy and identified as a hamartoma. Argon plasma coagulation was applied to the lesion’s base afterwards and the patient was to follow-up in 3 months for a repeat CT scan.

  • lung cancer (oncology)
  • respiratory cancer
  • bronchopulmonary dysplasia

https://doi.org/10.1136/bcr-2019-229670

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    Footnotes

    • Contributors AKS: did ground work including collecting images, designing flowcharts and writing up the case. AVB: contributed by writing up the case and performed the literature search. ME: drafted and reviewed the case report, along with contributions to the discussion portion of the case. AHA: identified the case, reviewed the case report, and made significant changes, including designing the flowcharts and giving expert opinions on the subject.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.