A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy
Pulmonary hyalinising granuloma is a very rare disease often presenting as multiple smooth rounded nodules within the lung parenchyma and mimicking metastatic disease. Solitary pulmonary hyalinising granuloma is an even rarer subgroup, and to our knowledge, there have been no endoluminal pulmonary h...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-10-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X20967175 |
| _version_ | 1818214987337826304 |
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| author | Jeremy LC Smelt Brendan Madden John Du Parcq Ian Hunt |
| author_facet | Jeremy LC Smelt Brendan Madden John Du Parcq Ian Hunt |
| author_sort | Jeremy LC Smelt |
| collection | DOAJ |
| description | Pulmonary hyalinising granuloma is a very rare disease often presenting as multiple smooth rounded nodules within the lung parenchyma and mimicking metastatic disease. Solitary pulmonary hyalinising granuloma is an even rarer subgroup, and to our knowledge, there have been no endoluminal pulmonary hyalinising granulomas reported. A 36-year-old female non-smoker with no significant past medical history presented with a persistent cough and was found to have a right lower lobe bronchial lesion causing lower lobe obstruction. After multiple failed attempts at tissue diagnosis from both percutaneous and endobronchial biopsies, and with worsening haemoptysis, the patient underwent a right thoracotomy and lower bilobectomy. The histopathology was reported as a solitary endobronchial pulmonary hyalinising granuloma. Although benign in nature, tissue diagnosis can be difficult in these lesions, especially when presenting as a solitary mass in a central location. This report demonstrates that these lesions can also be found endobronchially necessitating parenchymal resection for diagnosis and obstructive symptoms. |
| first_indexed | 2024-12-12T06:28:55Z |
| format | Article |
| id | doaj.art-6736bf782ca24de0b47ab4b926c8c4dd |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-12T06:28:55Z |
| publishDate | 2020-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-6736bf782ca24de0b47ab4b926c8c4dd2022-12-22T00:34:39ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-10-01810.1177/2050313X20967175A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomyJeremy LC Smelt0Brendan Madden1John Du Parcq2Ian Hunt3Department of Thoracic Surgery, St George’s Hospital NHS Foundation Trust, London, UKDepartment of Thoracic Surgery, St George’s Hospital NHS Foundation Trust, London, UKDepartment of Histopathology, St George’s Hospital NHS Foundation Trust, London, UKDepartment of Thoracic Surgery, St George’s Hospital NHS Foundation Trust, London, UKPulmonary hyalinising granuloma is a very rare disease often presenting as multiple smooth rounded nodules within the lung parenchyma and mimicking metastatic disease. Solitary pulmonary hyalinising granuloma is an even rarer subgroup, and to our knowledge, there have been no endoluminal pulmonary hyalinising granulomas reported. A 36-year-old female non-smoker with no significant past medical history presented with a persistent cough and was found to have a right lower lobe bronchial lesion causing lower lobe obstruction. After multiple failed attempts at tissue diagnosis from both percutaneous and endobronchial biopsies, and with worsening haemoptysis, the patient underwent a right thoracotomy and lower bilobectomy. The histopathology was reported as a solitary endobronchial pulmonary hyalinising granuloma. Although benign in nature, tissue diagnosis can be difficult in these lesions, especially when presenting as a solitary mass in a central location. This report demonstrates that these lesions can also be found endobronchially necessitating parenchymal resection for diagnosis and obstructive symptoms.https://doi.org/10.1177/2050313X20967175 |
| spellingShingle | Jeremy LC Smelt Brendan Madden John Du Parcq Ian Hunt A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy SAGE Open Medical Case Reports |
| title | A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| title_full | A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| title_fullStr | A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| title_full_unstemmed | A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| title_short | A rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| title_sort | rare solitary and endobronchial pulmonary hyalinising granuloma requiring bilobectomy |
| url | https://doi.org/10.1177/2050313X20967175 |
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