Görüntüleme
10
Objectives: Hamartomas are common benign tumors of the lung. Rarely, lung cancer coincidence may occur at the time of diagnosis or in the follow-up period. Methods: Between 2016 and 2019, 38 patients who underwent a surgical procedure and diagnosed with lung hamartoma were retrospectively evaluated regarding clinicopathological features. Cases were analyzed according to age, sex, radiological findings, localization of nodules, surgical methods, and the coincidence of lung cancer. Results: The mean age was 50.2±11.1 (range 28–76 years). There were 23 male (60.5%) and 15 female (39.5%) patients. Mean size was 2.7±1.8 (range 0.8–10 cm). In 28 patients, hamartoma was <3 cm in diameter (73.6%). Eighteen hamartomas were localized in the upper lobe (47.4%). Only 6 cases (15.8%) were localized at the central part of the lung. Multiple nodules were reported in 10 cases (26.3%). In 4 cases (10.5%), lung carcinoma and hamartoma were seen together at the time of diagnosis. Video-assisted thoracoscopic surgery (VATS) has been performed in 29 cases (76.3%). As a surgical method, enucleation was performed in 4 cases (10.5%), wedge resection in 28 cases (73.7%), and lobectomy in 6 cases (15.8%). No post-operative mortality appeared in the early follow-up. Conclusion: Pulmonary hamartomas are usually present as solitary pulmonary nodules with benign radiological findings. VATS wedge resection is a method that can be used safely in diagnosis and treatment. Hamartomas may be associated with lung cancer at the time of diagnosis or follow-up, so it should be kept in mind that a different nodule seen in patients diagnosed with hamartoma may be associated with lung cancer.
Purpose: Hamartoms are the common beneficial tumors of the lungs. Rarely, lung cancer can be seen during diagnosis or during follow-up. Method: 38 patients who were operated and diagnosed with pneumonia between 2016-2019 were examined retrospectively in terms of clinic pathological characteristics. The facts were analyzed according to age, gender, radiological findings, localization of nodes, surgical methods and the incidence of lung cancer. The average age was 50.2 ± 11.1 (distribution 28-76). 23 men (60.5%) and 15 women (39.5%) were sick. The average diameter was 2.7 ± 1.8 (distribution 0.8-10 cm). In 28 patients, the diameter of the hamartom was <3 cm (73.6%). In 18 cases (47.4) the localization of hamartom was at the top lob. 6 facts (15.8%) had hamartom plant was settled. In 10 cases (26.3%) multiple nodules were detected. At the time of the diagnosis, 4 cases (10.5%) of lung cancer and hamartoma were observed together. 29 cases (76.3%) were applied video-assisted toracoscopic surgery (VATS). As a surgical method, in 4 cases (10.5%) enucleation, in 28 cases (73.7%) wedge resection and in 6 cases (15.8%) lobectomy were performed. There was no mortality in the early follow-up period after surgery. The result: Pulmonary hamartoms are often seen as solitary pulmonary nodules with benign radiological findings. VATS wedge is a method that can be used safely in recession, diagnosis and treatment. Hamartoms may be associated with lung cancer during diagnosis or follow-up, so it should be remembered that a different nodule seen in patients diagnosed with hamartom may be associated with lung cancer. (SETB-2020-06-097)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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