Ezgi ÖZYILMAZ, Ali KOCABAŞ, İsmail HANTA, Dilek YUNSEL, Sedat KULECİ

Masif hemoptizinin nadir bir nedeni: Endobronşiyal kapiller hemanjiyom

Trakeal kapiller hemanjiyom son derece nadir görülen ve ciddi hemoptiziyle seyredebilen trakeanın benign tümörüdür. Olgularda, minör kanamadan masif hemoptiziye kadar çok çeşitli düzeylerde kanama izlenebildiği bildirilmektedir. Trakeada yerleşen küçük lezyonlar olduğundan radyolojik görüntüleme yöntemleri genellikle normal olarak izlenmektedir. Burada, 50 yaşında bir erkek hastada bronkoskopi ile tanı alan bir trakeal kapiller hemanjiyom olgusu sunulmuştur. Bu olgu bilgimize göre, literatürdeki sekizinci olgudur. Özellikle masif hemoptizi ile gelen ancak radyolojik bulguları normal olan hastada akla gelmeli ve tespit edildiğinde de öncelikle bronkoskopik yöntemlerle (eksizyon, argon, laser vb.) tedavi edilmelidir.

Endobronchial capillary hemangioma: a very rare cause of massive hemoptysis

Tracheal capillary hemangioma is a very rare benign tumor of trachea which may present as massive hemoptysis. Minor to massive hemoptysis can be observed in these patients. Due to its small size and tracheal localization, diagnosis cannot be easily performed by using radiological investigations. Fifty-years-old male patient who was diagnosed as tracheal capillary hemangioma with bronchoscopic biopsy was presented in this case report. According to our knowledge, this is the eighth case report in the world literature. Tracheal capillary hemangioma must be kept in mind in patients with massive hemoptysis with normal radiologic features and bronchoscopic procedures (excision, argon, laser etc.) should be the first choice of therapy when diagnosed.

PDF

___

1. Irani S, Brack T, Pfaltz M, Russi EW. Tracheal lobular capillary hemangioma: a rare cause of recurrent hemoptysis. Chest 2003; 123: 2148-9.
2. Mills SE, Cooper PH, Fechner RE. Lobular capillary hemangioma: the underlying lesion of pyogenic granuloma; a study of 73 cases from the oral and nasal mucous membranes. Am J Surg Pathol 1980.
3. Zambudio AR, Calvo MJ, Lanzas JT, Medina JG, Paricio PP. Massive hemoptysis caused by tracheal hemangioma treated with interventional radiology. Ann Thorac Surg 2003; 75: 1302-4.
4. Strauss J, Soltesz I. Bronchial capillary hemangioma in adults. Pathology Oncology Res 1999; 5: 233-4.
5. Rose AS, Mathur PN. Endobronchial capillary hemangioma: case report and review of the literature. Respiration 2008; 76: 221-4.
6. Oztuna F. Respiratory symptoms. Ozlu T, Metintas M, Karadag M, Kaya A (eds). Respiratory System and Diseases. Istanbul 2010: 191-223.
7. Lee J, Lynde C. Pyogenic granuloma: pyogenic again? Association between pyogenic granuloma and Bartonella. J Cutan Med Surg 2001; 5: 467-70.
8. Bartyik K, Bede O, Tiszlavicz L, Onozo B, Virag I, Turi S. Pulmonary capillary hemangiomatosis in children and adolescents: report of a new case and a review of the literature. Eur J Pediatr 2004; 163: 731-7.
9. El-Gabaly M, Farver CF, Budev MA, Mohammed TH. Pulmonary capillary hemangiomatosis imaging findings and literature update. J Comput Assist Tomogr 2007; 31: 608-10.
10. Madhumita K, Sreekumar KP, Mailini H, Indudharan R. Tracheal hemangioma: case report. J Laryngol Otol 2004; 118: 665-8.
11. Porfyridis I, Zisis C, Glinos K, Stavrakaki K, Rontogianni D, Zaknthinos S, et al. Recurrent cough and hemoptysis associated with tracheal capillary hemangioma in an adolescent boy: a case report. The Journal of Thoracic and Cardiovascular Surgery 2007; 134: 1366-7.
12. DeKeratry DR. Argon plasma coagulation for endobronchial hemangioma: a new treatment option for a rare cause of hemoptysis. J Broncol 2004; 11: 254-6.