• Journal of Chest Surgery
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• 제16권1호
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• pp.146-152
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• 1983

Hamartoma has been considered rare disease as a congenital malformation of a tumorous lesion since the original description by Albrecht in 1904. Pulmonary hamartoma is interesting to chest surgeon because of good result by surgical procedures and of slightly high incidence then another organs. It is characterized as lesion of very slow growing mass as peak incidence of age of 50 years age group and as sex ratio is 2:1. Especially endobronchial hamartoma is rarer than peripheral type. We had experienced a case of endobronchial hamartoma who has 53 years old male patient at right main bronchus and then treated by excision of tumor mass through right bronchotomy and preserving right lung except any lobectomy and pneumonectomy.

• Tuberculosis and Respiratory Diseases
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• 제61권1호
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• pp.60-64
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• 2006

Pulmonary aspergillosis presents as the following three different types depending on the immune status of the host: invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA), and aspergilloma. Aspergilloma develops as a result of an aspergillus growth inside a pre-existing lung cavity. However, endobronchial aspergilloma without a lung parenchymal lesion is quite rare. We encountered a case of endobronchial aspergilloma that developed in a healthy 75 year-old woman that led to necrotizing pneumonia of the right lower lobe. The chief complaints were fever, cough and yellowish sputum. The chest film revealed haziness with cavity-like shadows on the right lower lobe, and the chest CT scan showed endobronchial calcified density in the basal bronchus of the right lower lobe with peribronchial lymph node enlargement. Bronchoscopy revealed an obstruction of the basal orifice of the right lower lobe by blackish stone-like material, and the aspergilloma was confirmed by the bronchoscopic biopsy. The pneumonia improved after bronchoscopic removal of this lesion. We report this case along with a review of the relevant literature.

• Journal of Chest Surgery
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• 제22권4호
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• pp.709-712
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• 1989

The hamartoma is the commonest benign tumor of the lung and proved incidentally as asymptomatic coin lesion on routine chest radiologic examination, but has very low incidence, especially in endobronchial origin. The authors experienced a case of coincidental with intrapulmonary and endobronchial hamartoma. The patient, a 60-year-old man, a farmer, was admitted due to coughing and fever. Preoperative diagnosis was achieved by flexible bronchoscopic biopsy and managed by right middle lobectomy. Three lobulated masses were palpable in the right middle lobe. He was discharged on 15th postoperative day, without problem.

• Journal of Chest Surgery
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• 제28권4호
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• pp.423-425
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• 1995

Endobronchial hamartoma is a extremely rare lesion. The patient was 47 years old female and complained of cough and dyspnea for several years. On bronchoscopy, a finger tip size mass, nearly occluding the left main bronchus and located 4cm from the carina, was found. Bronchoscopic biopsy showed the chronic inflammatory findings.We performed bronchotomy and removed the mass through left thoracotomy. The endobronchial tumor was confirmed hamartoma histopathologically.

• Tuberculosis and Respiratory Diseases
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• 제54권6호
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• pp.640-644
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• 2003

폐림프종의 특수한 형태인 기관지내 호지킨씨 림프종은 매우 드문 것으로 알려져 있으나 정확한 진단과 병기 결정이 치료 결과 및 예후에 큰 영향을 준다는 점 때문에 임상적으로 중요하다. 저자 등은 호흡기 증상 및 무기폐를 동반한 20세 여자 환자에서 기관지내시경 검사를 시행하여 확인한 기관지내 종양이 호지킨씨 림프종으로 진단된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.589-593
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• 2004

Aspergillus fumigatus causes a variety clinical syndrome in lung including aspergilloma, chronic necrotizing aspergillosis, invasive pulmonary aspergillosis, and allergic bronchopulmonary aspergillosis. Aspergilloma develops by a colonization and growing of Aspergillus inside lung cavities with underlying lung disease. There is a few report of endobronchial aspergilloma without lung parenchymal lesion. We experienced a case of endobronchial aspergilloma did not fit any category of Aspergillus-induced lesion, who show minimal fibrostreaky denstities on chest PA and chest CT. Massive hemoptysis was improved by a removal of the aspergilloma in this patient. Here, we report a rare case of endobronchial aspergilloma showing massive hemoptysis with review of literatures.

• Journal of Chest Surgery
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• 제50권4호
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• pp.305-307
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• 2017

Patients with severe emphysema have a higher risk of developing lung cancer, and their surgical risk increases when emphysema is accompanied by a giant bulla. Here, we describe a patient who had an emphysematous giant bulla in the right upper lobe that was treated with an endobronchial valve placement. Subsequently, a cancerous lesion on the contralateral lung was successfully removed by lobectomy.

• Tuberculosis and Respiratory Diseases
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• 제38권4호
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• pp.347-356
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• 1991

Endobronchial tuberculosis is a serious disase because it frequently leaves airway obstruction as the complication, and the treatment of airway obstruction is generally troublesome. In the tumorous type of endobonchial tuberculosis, the bronchial patency is partially or completely compromised with lymph node contents when the necrotic focus of the lymph node ruptures into the bronchial lumen to form a bronchoglandular fistula. To investigate the transition of endobronchial lesion and to evaluate the therapeutic role of bronchoscopic electrocautery in the tumorous type of endobronchial tuberculosis, we performed electrocautery in addition to the combination chemotherapy with steroid and anti-tuberculous drugs in two cases which had airway obstruction proximal to lobar bronchus with the impairment of pulmonary function. We also treated another two cases only with chemotherapy and we have followed up four cases over a 36-month period. In cases that bronchoscopic electrocautery was done, the bronchial patency was completely restored and the impairment of pulmonary function disappeared just after cautery and these effects have remained for 12 months or more. But in cases of medical treatment only, bronchial stenosis was inevitable as the tumorous type of endobronchial tuberculosis changed to the stenotic type with fibrosis. It can be concluded that bronchoscopic electrocautery can nip the occurence of bronchial stenosis in the bud when it is applied in addition to combination chemotherapy with steroid and antituberculous drugs in the tumorous type of endobronchial tuberculosis.

• Tuberculosis and Respiratory Diseases
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• 제75권2호
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• pp.79-82
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• 2013

Tracheal Stenosis after Tracheostomy Treated Successfully with Papillotome Electrocautery A 39-year-old woman presented with symptoms of dyspnea. Ten years previously, she had received a tracheostomy because of the decision to not continue taking an anticonvulsant drug. Presently, chest computed tomography showed diffuse stenosis and focal web at the cervical trachea. We performed bronchoscopy and found a two-thirds reduction of the upper trachea due to the web-like fibrotic stenosis. Papillotome electrocautery removed the stenotic lesion. Endobronchial electrocautery is a valuable tool with potential for therapy of an endobronchial obstructing airway lesion. We report this case to introduce the successful treatment with papillotome electrocautery.

• Tuberculosis and Respiratory Diseases
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• 제45권3호
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• pp.614-618
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• 1998

호지킨병이 기관지내 종물의 형태를 띠는 경우는 매우 드문 것으로 보고되고 있다. 저자들은 호흡곤란을 호소하면서 흉부방사선 촬영 소견상 우중하엽 무기폐를 보였던 23세 남자 환자에게서 기관지내시경을 시행하여 우측 주기관지를 막고 있는 용종형 종괴를 발견하고 기관지내시경하 생검을 시행한 결과 호지킨병 중에서 결절성 경화형으로 진단하여 전신 항암요법을 시행한 결과 증세호전 및 병변의 소실을 보였기에 문헌고찰과 함께 보고하는 바이다.