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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">With reference to the article &#8220;Endobronchial Lipoma&#58; A Rare Cause of Bronchial Occlusion&#8221;&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> we report the case of a 64-year-old man with a previous diagnosis of severe obstructive sleep apnea-hypopnea syndrome receiving CPAP therapy&#44; who presented with a clinical picture of long-standing productive cough&#46; Increased density with upper right paratracheal rounded mass was observed on chest X-ray&#59; chest computed tomography showed partial atelectasis of the right upper lobe &#40;RUL&#41;&#59; bronchoscopy showed a soft&#44; rounded&#44; pinkish&#44; vascularized lesion in the entrance to the RUL&#59; biopsy revealed metaplastic bronchial mucosa&#59; and pathological contrast uptake was seen on positron emission tomography &#40;PET&#41;&#46; With a diagnosis of a RUL lesion with uptake on PET&#44; a thoracotomy with upper right lobectomy and lymphadenectomy was performed&#46; Pathology report revealed endobronchial lipoma with focal osseous metaplasia&#44; alveolar hemorrhage&#44; areas of bronchopneumonia and obstructive architectural distortion&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">Endobronchial lipoma is a very rare tumor&#44; accounting for only 0&#46;1&#37; of all lung tumors&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> They are usually located in the first 3 divisions of the tracheobronchial tree&#46; The most common symptoms are cough&#44; expectoration&#44; hemoptysis&#44; fever and dyspnea&#44; although 25&#37; of cases may be asymptomatic&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> The lipoma consists of mature fatty tissue covered with normal bronchial epithelium or&#8211;as in our case&#8211;squamous metaplasia&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> Fibrous&#44; glandular tissue&#44; areas of cartilage or osseous metaplasia can also be found in the lipoma&#59; pathologist must use differential diagnosis to rule out atypical lipomatous tumors and well-differentiated liposarcomas&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> Treatment of choice is bronchoscopic resection&#44; while thoracotomy should be considered in difficult-to-diagnose cases&#44; when there is parenchymal destruction due to atelectasis and long-standing pneumonitis&#44; extrabronchial growth&#44; or if bronchoscopy cannot be used for technical reasons&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> Nevertheless&#44; in view of the possibility of long-term relapse&#44; we recommend regular follow-up of patients undergoing bronchoscopic resection&#46;</p></span></span>"
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Letter to the Editor
Talking About Endobronchial Lipoma
A propósito del lipoma endobronquial
Juan José Guelbenzu Zazpe
Corresponding author
N443283@cfnavarra.es

Corresponding author.
, Elena Ramírez Gil, Ester Vilá Mayo
Servicio de Cirugía Torácica, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain
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Article information
ISSN: 15792129
Original language: English
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