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| A case of bronchial lipoma treated by bronchoscope high frequency electrical snare combined with cryotherapy |
| WANG Baoming1 LI Zhihao2 XING Xiqian3,4▲ |
1.Department of Respiratory Medicine, Honghe Hani and Yi Autonomous Prefecture South Yunnan Central Hospital Gejiu People′s Hospital, Yunnan Province, Gejiu 661000, China;
2.Department of Critical Medicine, Guangnan County People′s Hospital, Yunnan Province, Guangnan 663300, China;
3.Department of Respiratory, the Second People′s Hospital of Yunnan Province, Yunnan Province, Kunming 650021, China;
4.Department of the First Respiratory, Yan′an Hospital Affiliated to Kunming Medical University, Yunnan Province, Kunming 650051, China |
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Abstract Tracheobronchial lipoma is a rare disease, mostly seen in middle-aged and elderly men. Its etiology has not been determined yet, and its clinical symptoms are not specific, so it is easy to be misdiagnosed. A patient with broncholipoma who was admitted to the Department of Respiratory and Critical Care Medicine, Yan′an Hospital, Kunming City, Yunnan Province in 2016 was selected. Describe the diagnosis and treatment process and summarize the experience. The patient, female, 46 years old, was admitted for “cough and sputum for 3 weeks”. After admission, she was examined by high-resolution chest CT and bronchoscopy, and the neoplasm in the bronchial lumen was removed by high frequency electrical entrapment under the tracheoscope combined with cryotherapy, and the neoplasm was removed to reveal lipoma with saliary gland hyperplasia. Postoperative symptoms of cough and sputum were alleviated. Chest CT reexamination showed that the right middle bronchial lumen was unobtrusive and the right middle and lower lungs exudated and absorbed. Through case review and literature review, the epidemiology, clinical symptoms, imaging characteristics, and treatment selection of tracheobronchial lipoma were reviewed. Improve the level of diagnosis and treatment of tracheobronchial lipoma, reduce missed diagnosis and misdiagnosis.
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