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Endobronchial Lipoma: An Unusual Cause of Bronchial Obstruction
Lipoma endobronquial: una causa infrecuente de obstrucción bronquial
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They often present with a clinical picture of asthma and can be misdiagnosed as malignancies.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The case of 43-year-old woman with a 2-year history of poorly controlled asthma and slow-resolving right lower lobe pneumonia is described. Chest CT showed the right lower bronchus occupied by fatty content material. Fibreoptic bronchoscopy revealed it to be a highly vascularised, rounded, yellowish tumour with smooth outlines that almost completely obstructed the entrance to the right lung base (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient was referred to the thoracic surgery department for treatment, and the histology report confirmed that the lesion was formed by groups of adipocytes.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">These tumours are often diagnosed late, due to their slow growth and unspecific symptoms, of which cough is the most common. A delayed diagnosis leads to late treatment, increasing morbidity due to the distal obstruction caused by the lesion.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Many treatment options, ranging from endobronchial techniques (YAG laser, cryotherapy, etc.) to surgical resection, are available and intervention should be planned on a case-by-case basis by a multidisciplinary team.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of Interests" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sacristán Bou L, Fernández Robledo E, Peña Blas F. Lipoma endobronquial: una causa infrecuente de obstrucción bronquial. Arch Bronconeumol. 2014;50:78–79.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1094 "Ancho" => 950 "Tamanyo" => 272565 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bronchoscopy image of a shiny, yellowish polypoid lesion that was determined on histology to be a lipoma.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An endobronchial lipoma mimicking asthma and malignancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Irani" 1 => "B. Kumar" 2 => "P. Reddy" 3 => "R. Narwal-Chadha" 4 => "R. Kasmani" 5 => "J. Tita" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4104/pcrj.2009.00070" "Revista" => array:6 [ "tituloSerie" => "Prim Care Respir J" "fecha" => "2010" "volumen" => "19" "paginaInicial" => "281" "paginaFinal" => "283" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20020088" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An elderly woman with chronic dyspnea and endobronchial lesion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Alazemi" 1 => "A. Majid" 2 => "A.I. Ruiz" 3 => "D. Litmanovich" 4 => "D. Feller-Kopman" 5 => "A. Ernst" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.09-0876" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2010" "volumen" => "137" "paginaInicial" => "460" "paginaFinal" => "466" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20133294" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:3 [ "titulo" => "Acknowledgements" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">We would like to thank Dr. P. León Atance and Dr. J. Valer Corellano, from the Thoracic Surgery and Anatomical Pathology Departments of the Hospital General Universitario de Albacete, respectively, for their collaboration.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005000000002/v1_201403040040/S1579212914000214/v1_201403040040/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005000000002/v1_201403040040/S1579212914000214/v1_201403040040/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212914000214?idApp=UINPBA00003Z" ]
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