[A bronchial mucous gland adenoma resected by endoscopic procedure].
BACKGROUND
Surgical resection is usually performed for the treatment of endobronchial tumors. This case describes the use of endoscopic resection as an initial treatment, allowing to spare lung parenchyma.


METHODS
A patient was admitted to the emergency unit with right lower lobe pneumonia. A thoracic CT-scan and subsequent bronchoscopy revealed an intrabronchial tumor between the right main and intermediate bronchus. Biopsies were non-diagnostic and a PET-scanner did not find any abnormalities. Surgical resection was initially proposed but would have required a right upper lobectomy. The patient had stage 2 (moderate) chronic obstructive pulmonary disease (GOLD classification). Because of this, we decided to perform an endoscopic resection to obtain further histology and hopefully achieve total removal. Under conscious sedation, the resection by argon plasma coagulation with a flexible bronchoscope was realized without any complication. The histological diagnosis was a bronchial mucous gland adenoma.


CONCLUSIONS
This case emphasizes the role of multidisciplinary discussion when considering suitability of local resection of tumors by an endobronchial procedure rather than a surgical resection.
Service de pneumologie, université d'Angers, CHU d'Angers, 49000 Angers, France.
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Vergnenègre
Service de pneumologie, université d'Angers, CHU d'Angers, 49000 Angers, France. Electronic address: johureaux@chu-angers.fr.
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Hureaux
Département de pathologie cellulaire et tissulaire, université d'Angers, CHU d'Angers, 49000 Angers, France.
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Morvant
Service de pneumologie, université d'Angers, CHU d'Angers, 49000 Angers, France.
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Urban
Service de pneumologie, université d'Angers, CHU d'Angers, 49000 Angers, France.
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Jeanfaivre
D000236:Adenoma / Q000175:diagnosis*; D001980:Bronchi / Q000000981:diagnostic imaging* / Q000473:pathology; D001984:Bronchial Neoplasms / Q000175:diagnosis*; D001999:Bronchoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000000981:diagnostic imaging / Q000473:pathology
Adenoma; Adénome; Bronchial tumor; Bronchoscopie; Bronchoscopy; Coagulation laser; Laser coagulation; Tumeur bronchique