Victor Martins Fernandes¹*, Gibran Ribeiro da Rocha², Rafael Augusto Oliveira Sodré Leal³ and Hélio Aguiar Ribeiro⁴

¹Medical Student at State University of Southwest, Bahia, Brazil
²Professor at the Surgical Clinic at State University of Southwest, Bahia, Brazil
³Professor at the Surgical Clinic at Federal University of Bahia, Brazil
⁴Resident Physician of General Surgery at Hospital Santo Antônio, Bahia, Brazil

*Corresponding Author: Victor Martins Fernandes, Medical Student at State University of Southwest, Bahia, Brazil.

Received: May 14, 2021; Published: June 23, 2021

Abstract

Pulmonary hamartoma is the most common benign tumor of the lung. However, its extrapulmonary manifestation is rare, with only 7 other cases found in the literature. We describe a 72 year-old patient who developed progressive dyspnea with unilateral pleural effusion on the left, as evidenced on chest radiography and computed tomography. Videothoracoscopy was indicated and a hemothorax and an extrapulmonary lesion with 2 pedicled (one ruptured) was found. Pleural effusion was treated and the tumor was resected, with relief of the patient’s symptoms and preventing its recurrence. Subsequently, in anatomopathological analysis, it was found to be an hamartoma.

Keywords: Hamartoma; Hemothorax; Videothoracoscopy; Neoplastic; Thoracic Surgery

References

1. Matos R and Carvalho L. “Hamartomas Pulmonares”. Acta Médica Portuguesa 15 (1999): 165-168.
2. Nicholson AG., et al. “World Health Organization (Ed.). “WHO classification: Tumours of the lung, pleura, thymus and heart. Lyon: International Agency for Research On Cancer (2004): 113-114.
3. Gould MK., et al. “Evaluation of Individuals with Pulmonary Nodules: When Is It Lung Cancer?” Chest 5 (2013): 93-120.
4. Schneider A. “Sociedade Brasileira de Cirurgia Torácica. Livro 1: tópicos de atualização em cirurgia torácica: Tumores benignos do pulmão.
5. Hansen CP., et al. “Pulmonary hamartoma”. The Journal of Thoracic and Cardiovascular Surgery 104 (1992): 674-678.
6. Sakamoto K., et al. “Pulmonary chondromatous hamartoma with pleural dissemination: report of a case”. Surgery Today9 (2015): 1197-1199.
7. Ribet M., et al. “Pulmonary hamartoma and malignancy”. The Journal of Thoracic and Cardiovascular Surgery 107 (1994): 611-614.
8. Colby P., et al. “Atlas of tumors of the lower respiratory tract”. Administración Federal de Ingresos Públicos (1995): 319-326.
9. Lien YC., et al. “Pulmonary hamartoma”. Journal of the Chinese Medical Association1 (2004): 21-26.
10. Teramoto K and Suzumura Y. “Multiple Pulmonary Hamartomas Penetrating the Visceral Pleura: Report of a Case”. Surgery Today12 (2007): 1087-1089.
11. Dail D and Hammar D. “Pulmonary Pathology”. Springer -Verlag, New York (1997): 1368-1374.
12. Endo T., et al. “Extrapulmonary hamartoma”. The General Thoracic and Cardiovascular Surgery 59 (2010): 209-211.
13. Bateson EM. “Histogenesis of intrapulmonary and endobronchial hamartomas and chondromas (cartilage containing tumors): a hypothesis”. The Journal of Pathology 101 (1970): 77-83.
14. Johansson M., et al. “Recombinations of chromosomal bands 6p2l and 14q24 characterize pulmonary hamartomas”. The European Journal of Cancer 67 (1993): 1236-1241.
15. Cosio BG., et al. “Endobronchial hamartoma”. Chest 122 (2002): 202-205.
16. Tomiyasu M., et al. “An intrapulmonary chondromatous hamartoma penetrating the visceral pleura: report of a case”. Annals of Thoracic and Cardiovascular Surgery 1 (2001): 42-44.
17. Gholoum S., et al. “Posterior mediastinal chondromatous hamartoma”. The Annals of Thoracic Surgery4 (2007): 1528-1530.
18. Kaptanoğlu M., et al. “Pulmonary hamartoma, a rare presentation”. European Journal Of Cardio-Thoracic Surgery: Images in Cardio-Thoracic Surgery (2001): 1031.
19. Iguchi K., et al. “A case of chondromatous hamartoma of the lung with pleural dissemination”. The Japan Lung Cancer Society ... Lung Cancer 47 (2007): 285-286.
20. Salminen US. “Pulmonary hamartoma: a clinical study of 77 cases in a 21-year period and review of literature”. European Journal of Cardio-Thoracic Surgery 4 (1990): 15-18s.

Citation

Citation: Victor Martins Fernandes., et al. “Extrapulmonary Hamartoma with Hemothorax: A Case Report". Acta Scientific Clinical Case Reports 2.6 (2021): 66-69.

Copyright

Copyright: © 2021 Victor Martins Fernandes., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.