Bronchial Adenoma

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THE earliest description of adenoma of the bronchus is attributed to Mueller,1 who reported a case with autopsy findings in 1882. Subsequent reports have been relatively few in comparison to the number of treatises on other primary neoplasms of the bronchus. Nevertheless, with the general improvement of endoscopic and surgical technics there has been an increasing interest in the clinical and pathologic aspects of these tumors.2 Since the possibility of cure of bronchial adenoma is so great it is important that this disorder be considered more generally in differential diagnosis and not relegated only to the thoracic surgeon and the otolaryngologist.

Clinical Picture

Adenoma of the bronchus is most commonly found in the primary divisions of the tracheobronchial tree.3 For this reason the lesion can usually be visualized directly by the bronchoscopist. Likewise, the characteristic location of the tumor accounts for the uniformity of the symptom complex.

The majority of patients with this tumor complain of cough and hemoptysis.4 The cough may be “dry” or productive of copious amounts of sputum, depending on the degree of parenchymal obstruction and secondary infection. There may be wheezing on the affected side due to partial bronchial occlusion.5 Cases of so-called “unilateral asthma” should always be looked upon with suspicion and the diagnosis of intrabronchial tumor must be excluded.

Hemoptysis has been described as a cardinal sign. The bleeding may be abrupt in its onset and in its termination. It may vary in degree between blood streaking and exsanguinating hemorrhage. Usually the patients complain. . .



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