Mixoma endobrônquico: Caso clínico

• Author(s): Rolo, R ; Pereira, R ; Eisele, L ; Ferreira, L ; Nogueira, R ; Cunha, J
• Date: 2012
• Persistent ID: http://hdl.handle.net/10400.23/120
• Origin: Repositório Científico do Hospital de Braga
• Subject(s): Mixoma; Neoplasias dos Brônquios
• Document Type: Journal article
• Language: English
• Contributor(s): Repositório Científico do Hospital de Braga

Description

INTRODUCTION: Pulmonary myxoma is an extremely rare benign neoplasm. It is mostly parenchymal but may occasionally occur within the tracheobronchial tree. There are very few reports of endobronchial myxoma. CASE REPORT: We describe a case of endobronchial myxoma in a 40-year-old female patient with a history of asthma and repeated right-sided pneumonia. Thoracic computed tomography (CT) showed medium lobe atelectasis. Fiber optic bronchoscopy revealed a polypoid, well-circumscribed tumor, causing total obstruction of the medium lobe bronchus. Biopsy of the mass was non-diagnostic. Further study included a positron emission tomography (PET) which demonstrated low metabolic activity of the tumor and no evidence of neoplasia in other location. The patient was submitted to a medium lobectomy and microscopic examination of the tumor revealed myxoid stroma with lobulated pattern, elongated and stellate cells, compatible with myxoma. CONCLUSION: Pulmonary myxoma is extraordinary rare and endobronchial location is very few reported in medical literature.