Year: 2024
Type: article
Study design: Case Report
Abstract: Endobronchial lipoma (EL) is a rare benign lung tumor, and its incidence rate only accounts for a tiny proportion of all lung tumors.EL has non-specific clinical symptoms and signs, and chest computed tomography is helpful in diagnosis.When fat density nodules are found in the bronchial lumen with no enhancement, EL should be considered.Once this disease is diagnosed, bronchoscopic intervention therapy is the first choice for treatment, and patients generally have a good prognosis.The present report describes the diagnosis and treatment processes of a patient with EL.The patient sought medical attention due to recurrent fever, cough and white sputum for >1 month.The chest CT revealed a hypodensity nodule at the bronchial opening of the basal segment of the lower lobe of the left lung, with the margins showing foci of punctate calcification.The patient underwent a bronchoscopy and the pathological diagnosis was EL.In the present study, a literature review analysis is also included to provide a reference for the diagnosis and treatment of this disease. Case reportA 73-year-old female patient was admitted to Hubin Community Health Service Center (Xuzhou, Jiangsu) in March 2024, due to recurrent fever, cough and white sputum for >1 month.Non-contrast chest CT indicated a solid lesion of the lower lobe of the left lung with endobronchial nodule (Fig. 1), therefore a contrast-enhanced chest CT scan was required.For further treatment, the patient was admitted to The Second Affiliated Hospital of Xuzhou Medical University (Xuzhou, Jiangsu) in March 2024.According to the self-report of the patient, since the onset of the disease, their mental status and diet were good, there was no abdominal pain, diarrhea, chest tightness, asthma, chills, and no significant change in weight.However, the patient reported occasional coughs with white phlegm.The patient had a history of elevated triglycerides, but no history of smoking, drinking, hypertension, diabetes, metabolic syndrome and glucose intolerance, and the patient denied any history of infection.Moreover, the patient had no family history of lung cancer (LC).The results of the physical examinations were as follows: Body mass index, 23.1 (18.5-23.9)kg/m 2 ; body temperature, 36.5˚C;blood pressure, 128/70 mmHg; patient was lucid; no palpable swelling of superficial lymph nodes throughout the body; dullness to percussion in the left lower lung; decreased Endobronchial lipoma with obstructive pneumonia: A case report
Source: Oncology Letters
Authors: Yinjiao Wang, Peng Du
Institution: Second Affiliated Hospital of Xuzhou Medical College
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Award: G6615652160
OpenAlex ID: W4402871682