Multifocal Endobronchial Fibromas Presenting as Unilobar Emphysema

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Multifocal Endobronchial Fibromas Presenting as Unilobar Emphysema Seemal Mumtaz, MB, Maha Alkhuziem, MB, Jennifer Chow, Andrew Yen, MD, Grace Lin, MD, PhD, James H. Harrell, MD, Patricia A. Thistlethwaite, MD, PhD The Annals of Thoracic Surgery Volume 100, Issue 3, Pages 1109-1111 (September 2015) DOI: 10.1016/j.athoracsur.2014.11.011 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Axial and (B) coronal computed tomography images show unilobar left upper lobe emphysema and compressive atelectasis of the left lower lobe. The Annals of Thoracic Surgery 2015 100, 1109-1111DOI: (10.1016/j.athoracsur.2014.11.011) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Bronchoscopic images show the (A) left upper lobe anterior segment orifice with a firm, white, obstructing lesion and the (B) lingula orifice with multiple firm, white, obstructing lesions. The Annals of Thoracic Surgery 2015 100, 1109-1111DOI: (10.1016/j.athoracsur.2014.11.011) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Photomicrographs of the resected specimen from the (A) left upper lobe anterior segment orifice show a polypoid mass composed of fibroblasts covered by pseudostratified columnar epithelium and from the (B) lingula orifice demonstrate similar findings, with a mass extending to perichondrium of cartilaginous ring (hematoxylin and eosin stain, original magnification ×200). The Annals of Thoracic Surgery 2015 100, 1109-1111DOI: (10.1016/j.athoracsur.2014.11.011) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions