Bronchial hamartoma

Changed by Matthew Lukies, 1 Apr 2018

Updates to Article Attributes

Body was changed:

A bronchial hamartoma falls under the same spectrum of pathology as a pulmonary hamartoma (except for their location). An endobronchial, but a hamartoma in an bronchial location is less common than a peripheral pulmonary location where thay. Bronchial hamartoma accounts for only account for around 1.4-10% of all intrathoracic hamartomas. 

Epidemiology

The mean age of the patientpatients at presentation ranges aroundbetween the 6th to 7th decades. There may be a slight male predominance.

Pathology

As with other hamartomas, theybronchial hamartomas are comprised of mature cartilage and fat elements with, as well as muscle and bone elements also present in some cases.

Variants

Radiographic features

CT

Bronchial hamartomas typically contain fat (HU of -40 to -120), calcification (HU of >200), or a combination of both.

There may be associated distal lung collapse or airway dilatation.

Treatment and prognosis

Although theybronchial hamartomas are benign they can be associated with bronchial obstruction and bleeding onin some occasionscases. Endoscopic treatment with rigid bronchoscopy and lasers provides an excellent outcome and can be offered in patient's havingwith lesions which can causescausing obstruction.

See also

  • -<p>A <strong>bronchial hamartoma</strong> falls under the same spectrum of pathology as a <a href="/articles/pulmonary-hamartoma-1">pulmonary hamartoma</a> (except for their location). An endobronchial location is less common than a peripheral pulmonary location where thay only account for around 1.4-10% of all intrathoracic hamartomas. </p><h4>Epidemiology</h4><p>The mean age of the patient at presentation ranges around the 6<sup>th</sup> to 7<sup>th </sup>decades. There may be a slight male predominance.</p><h4>Pathology</h4><p>As with other hamartomas, they are comprised of mature cartilage and fat elements with muscle and bone elements also present in some cases.</p><h5>Variants</h5><ul><li>
  • +<p>A <strong>bronchial hamartoma</strong> falls under the same spectrum of pathology as a <a href="/articles/pulmonary-hamartoma-1">pulmonary hamartoma</a> (except for their location), but a hamartoma in an bronchial location is less common than a peripheral pulmonary location. Bronchial hamartoma accounts for only around 1.4-10% of all intrathoracic hamartomas. </p><h4>Epidemiology</h4><p>The mean age of patients at presentation ranges between the 6<sup>th</sup> to 7<sup>th </sup>decades. There may be a slight male predominance.</p><h4>Pathology</h4><p>As with other hamartomas, bronchial hamartomas are comprised of mature cartilage and fat elements, as well as muscle and bone elements also present in some cases.</p><h5>Variants</h5><ul><li>
  • -</li></ul><h4>Treatment and prognosis</h4><p>Although they are benign they can be associated with bronchial obstruction and bleeding on some occasions. Endoscopic treatment with rigid bronchoscopy and lasers provides an excellent outcome and can be offered in patient's having lesions which can causes obstruction.</p><h4>See also</h4><ul><li><a href="/articles/tracheal-and-endobronchial-lesions">tracheal and endobronchial lesions</a></li></ul>
  • +</li></ul><h4>Radiographic features</h4><h5>CT</h5><p>Bronchial hamartomas typically contain fat (HU of -40 to -120), calcification (HU of &gt;200), or a combination of both.</p><p>There may be associated distal lung collapse or airway dilatation.</p><h4>Treatment and prognosis</h4><p>Although bronchial hamartomas are benign they can be associated with bronchial obstruction and bleeding in some cases. Endoscopic treatment with rigid bronchoscopy and lasers provides an excellent outcome and can be offered in patient's with lesions causing obstruction.</p><h4>See also</h4><ul><li><a href="/articles/tracheal-and-endobronchial-lesions">tracheal and endobronchial lesions</a></li></ul>

References changed:

  • 9. Theriault M, Eddy K, Borgaonkar J et-al. Diseases Involving the Central Bronchi: Multidetector CT for Detection, Characterization, and Differential Diagnosis. (2018) RadioGraphics. 38 (1): 58-59. <a href="https://doi.org/10.1148/rg.2018170097">doi:10.1148/rg.2018170097</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/29320325">Pubmed</a> <span class="ref_v4"></span>

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