A case of primary bronchial leiomyoma successfully treated with KTP laser ablation via flexible bronchoscope
Satoru Miwaa Tomohiro Utoa Hideki Yasuia Jun Satoa Shiro Imokawaa Takafumi Sudab
aDepartment of Respiratory Medicine, Iwata City Hospital
bSecond Division Department of Internal Medicine, Hamamatsu University School of Medicine
A-73-year-old woman was referred to our hospital because of a chest X-ray abnormality found on a routine medical checkup. She had no respiratory symptoms. Laboratory investigations were unremarkable. A chest CT demonstrated a round mass in the lingular bronchus. Bronchoscopy revealed a yellowish to white polypoid, well-circumscribed mass. Treatment with potassium-titanyl-phosphate (KTP) laser ablation via flexible bronchoscope resulted in its complete resection. Histological findings showed smooth muscle cells without evidence of atypia or malignancy. These cells were positive for α-smooth muscle actin. We diagnosed primary bronchial leiomyoma. Subsequent follow-up examinations have shown no relapses for one year. KTP laser ablation via flexible bronchoscope is one of the useful options in the treatment of primary bronchial leiomyoma.
Primary bronchial leiomyoma Laser ablation Flexible bronchoscope
Received 3 Feb 2017 / Accepted 26 May 2017
AJRS, 6(5): 337-340, 2017