title: Tracheal leiomyoma resected with endobronchial electrocautery snare.
abstract: Tracheobronchial leiomyoma is a rare benign tumor, which comprises about 2% of benign tumors of the lower respiratory tract. Bronchoscopic intervention is a minimally invasive treatment, but incomplete resection or recurrence has been reported. We report a case of a 76-year-old woman with a tracheal tumor of 14 mm in diameter incidentally detected on chest computed tomography. Bronchoscopic examination revealed a smooth polypoid tumor which pedunculated from the left side of the cartilaginous tracheal wall. An endobronchial electrocautery snare with flexible bronchoscope was successfully used under general anesthesia and with intubation. The resected specimen was pathologically consistent with leiomyoma. Bronchoscopic intervention can yield successful treatment of pedunculated tracheobronchial leiomyomas, although surgical resection should also be considered in cases of broad-based or iceberg-type leiomyomas because of the risk of incomplete resection or recurrence.
authors.affiliation: *Division of Chest Surgery †Department of Surgical Pathology, Toho University School of Medicine, Tokyo, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Hata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Koezuka
authors.forename: Takashi
authors.initials: T
authors.lastname: Makino
authors.forename: Hajime
authors.initials: H
authors.lastname: Otsuka
authors.forename: Fumitomo
authors.initials: F
authors.lastname: Sato
authors.forename: Shuichi
authors.initials: S
authors.lastname: Sasamoto
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Okubo
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Shibuya
authors.forename: Akira
authors.initials: A
authors.lastname: Iyoda
mesh_terms: D000368:Aged; D001999:Bronchoscopy / Q000295:instrumentation / Q000379:methods; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome