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Mixoma endobrônquico: Caso clínico

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Rev Port Pneumol.pdf686.9 KBAdobe PDF Ver/Abrir

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Resumo(s)

INTRODUCTION: Pulmonary myxoma is an extremely rare benign neoplasm. It is mostly parenchymal but may occasionally occur within the tracheobronchial tree. There are very few reports of endobronchial myxoma. CASE REPORT: We describe a case of endobronchial myxoma in a 40-year-old female patient with a history of asthma and repeated right-sided pneumonia. Thoracic computed tomography (CT) showed medium lobe atelectasis. Fiber optic bronchoscopy revealed a polypoid, well-circumscribed tumor, causing total obstruction of the medium lobe bronchus. Biopsy of the mass was non-diagnostic. Further study included a positron emission tomography (PET) which demonstrated low metabolic activity of the tumor and no evidence of neoplasia in other location. The patient was submitted to a medium lobectomy and microscopic examination of the tumor revealed myxoid stroma with lobulated pattern, elongated and stellate cells, compatible with myxoma. CONCLUSION: Pulmonary myxoma is extraordinary rare and endobronchial location is very few reported in medical literature.

Descrição

Palavras-chave

Mixoma Neoplasias dos Brônquios

Contexto Educativo

Citação

Rev Port Pneumol. 2012 Jan 17. [Epub ahead of print]

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Fascículo

Editora

Sociedade Portuguesa de Pneumologia

Licença CC