A 40-year-old male was admitted with dry cough of two months’ duration. Radiologic examination revealed an endobronchial mass obstructing the right middle lobar bronchus and poststenotic pneumonia. Despite failure in bronchoscopic diagnosis, due to suspected malignancy and difficulty for bronchoscopic resection, we performed a right middle lobectomy. The histopathological diagnosis was a lipomatous hamartoma, which was exophytic and endobronchial. We report on a rare surgical case of endobronchial lipomatous hamartoma which had occlusive and exophytic growth across the bronchial wall.
Grossly, a lot of soft white nodules, 0.5~1.5 cm in diameter, were randomly scattered in liver of a slaughtered Korean Native Cattle. The surface of liver was roughened by those nodules. Histopathologically the nodules were consisted of numerous mature blood vessels, which had variable size and wall thickness, and which were encircled by much connective tissue. Masson's trichrome stain clearly revealed the proliferated blood vessels and perivascular stroma and, immunohistochemical staining revealed that endothelial cells of proliferated blood vessels were positive for Von Willebrand Factor. Based on gross and histopathological lesions, and immunohistochemical staining, the case was confirmed as hepatic vascular hamartoma and it is the first case report in Korea, as far as we know.