Two Cases of Bronchial Leiomyoma Initially Misdiagnosed as Bronchial Asthma.

Lee, Seung Chul; Park, Moo Suk; Chung, Jae Ho; Kim, Young Sam; Kim, Kil Dong; Chang, Joon; Chung, Kyung Young; Shin, Dong Hwan; Kim, Sung Kyu; Kim, Se Kyu

doi:2003.55.6.616

Tuberc Respir Dis > Volume 55(6); 2003 > Article

Case Report

Tuberculosis and Respiratory Diseases 2003;55(6):616-622.
DOI: https://doi.org/10.4046/trd.2003.55.6.616 Published online December 1, 2003.

Two Cases of Bronchial Leiomyoma Initially Misdiagnosed as Bronchial Asthma.

Seung Chul Lee, Moo Suk Park, Jae Ho Chung, Young Sam Kim, Kil Dong Kim, Joon Chang, Kyung Young Chung, Dong Hwan Shin, Sung Kyu Kim, Se Kyu Kim

¹Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. sekyukim@yumc.yonsei.ac.kr
²Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
³Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
⁴The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
⁵Brain Korea 21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Leiomyoma of the bronchus is a very rare benign tumor of the lung. Leiomyoma is usually found in the young and the middle age. The symptom depends on the location of the tumor, it's size, and changes in the lung distal to the lesion. Obstructive symptoms due to leiomyoma could be similar to those of asthma and bronchitis, and therefore delayed diagnosis is common. The treatment of leiomyoma is conservative since there have been no reports of recurrence after limited resection. Recently bronchoscopic tumor resection has been applied to selected cases. We experienced two cases of bronchial leiomyoma initially misdiagnosed as bronchial asthma which were successfully excisedby resection, end-to-end anastomosis and bronchoplasty. To prevent destructive changes of lung distal to obstruction and to preserve the pulmonary function, early diagnosis and appropriate treatment are important points of consideration.

Key Words: Leiomyoma, Bronchus, Asthma