Epidemiology

• xxx

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Physiology

• Benign mucoepithelial tumor of the lung

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Pathology

• Papillary bronchial cystadenoma:
• Mucinous bronchial cystadenoma:

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Clinical

• Endobronchial Nodule/Mass (see Obstructive Lung Disease, [[Obstructive Lung Disease]])
  • Diagnosis
    • FOB: usually occurs as sessile or polypoid mass in airway
      • EBB: diagnostic
    • CXR/Chest CT: atelectasis, post-obstructive pneumonia
  • Clinical
    • Wheezing
    • Stridor
    • Cough
    • Post-Obstructive Pneumonia

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Treatment

• Bronchoscopic Removal: fulguration/laser may be used for poor surgical candidates
• Surgical Excision ( with wide margins): usually recommended
  • Tumors may locally recur if not completely resected
• XRT: for positive surgical margins/ recurrent disease
  • Used more commonly with salivary gland origin, less experience with airway origin tumors
• Chemo: palliative (for metastatic disease)

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References

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