U3F1ZWV6ZTYzMDQ3MjM2NjJfQWN0aXZhdGlvbjcxNDIzODIzNjY5
recent
Latest

Bronchial adenoma def., manifestations, investigations and treatment

In this article, We are going to discuss bronchial adenoma regarding its definition, clinical picture, diagnostic investigations and methods of management .

What is Bronchial adenoma ?

 It is a slowly growing intrabronchial lesions that represent 50% of all benign pulmonary neoplasm 80-90% are carcinoids, 10-15% are adenocystic and 2-3% are mucoepidermoid.
 Bronchial adenoma considered to be a locally malignant or a locally invasive tumour.

What are the manifestations of Bronchial adenoma ?

Clinical picture

(female = male)
1- Cough and recurrent haemoptysis (the tumour is highly vascular) .
2- Bronchial obstruction with recurrent pulmonary infections, lung collapse may occur .
3- Carcinoid syndrome :
 attacks of Bronchospasm , Flushing , Diarrhea

Investingations

X-ray  : Coin shadow
Bronchial-adenoma-x-ray

Bronchoscopy :  Biopsy (bleeding should be anticipated)
HIAA  :  Hydroxy Indole Acetic Acid in urine = metabolite of serotonine

Treatment of Bronchial adenoma :

• Surgical Resection of the lobe or the segment that contain the tumour.
• Local removal of the tumour tissue from the bronchial lumen (bronchotomy with local excision), laser therapy may be needed.
• Chemotherapy, radiotherapy also can be used.
Edit Post
author-img

Tamer Mobarak

Comments
    No comments
    Post a Comment

    Post a Comment

    Please note that we will be notified by e-mail about your comment , So be careful .
    Any medical questions will be answered .

    NameEmailMessage