Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
2Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
3Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
© 2013 The Korean Society of Pathologists/The Korean Society for Cytopathology
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Case No. | Sex/Age(yr) | Size (cm) | Location | Clinical presentation | Duration of symptom (mo) | Clinical/Radiologic impression (differential diagnosis list) | Bronchoscopic findings | Treatment | Histology |
---|---|---|---|---|---|---|---|---|---|
1 | F/81 | 4.0 | Left main bronchus | Dyspnea | 19 | Tumor, not otherwise specified | Complete narrowing of left main bronchus by lobulated mass | Rigid bronchoscopy for mass removal | |
2 | F/52 | 3.0 | Carina | Dyspnea, hemoptysis | 9 | Malignant tumor such as squamous cell carcinoma or carcinoid tumor | Carinal mass with total obstruction of distal trachea and right and left main bronchus | Rigid bronchoscopic tumor removal (initial), surgical resection for recurred tumor | |
3 | F/21 | 2.1 | Left main bronchus | Cough, fever | 1 | Adenoid cystic carcinoma, leiomyoma, mucoepidermoid carcinoma, cylindroma, schwannoma | Complete obstruction of proximal left main bronchus by round beefy mass | Bronchoscopic tumor excision | Eosinophilic infiltration |
4 | F/50 | 2.8 | Carina and right main bronchus | Recurrent cough, dyspnea | 4 | Metastatic breast cancer (history of breast cancer) | 50% obstruction of distal trachea by white tumor | Rigid bronchoscopic mass excision | Ancient change |
5 | F/58 | 1.5 | Bronchus intermedius | Pleuritic chest pain | 2 | Peripheral organizing pneumonia | Well-circumscribed raised lesion on the lateral wall side of bronchus intermedius | Bronchoscopic tumor excision | Ancient change |
6 | M/16 | 2.3 | Anterior segmental brochus of left lower lobe | Asymptomatic | - | Atypical carcinoid | Smooth surfaced mass with visible vessels on the surface | Lobectomy, left lower lobe | |
7 | M/36 | 3.0 | Right main bronchus | Dyspnea | 7 | Inflammatory pseudotumor (diagnosis of previous biopsy at outside hospital) | Almost complete obstruction of right main bronchus by beefy mass | Bronchoscopic tumor excision |
F, female; M, male.