Bronchial Abenoma:

Mahmoud Ahmed El Batawi

-58-StnJiURY AUD COlTGLUSION -Fj,fteen patients with bronchia. adenoma encounteredin Kasr El Aini Hospital 4urina the last ttve years, havebeen studied and reviewed. They represaQt ’.G% ot all primarypullJlO:.1anreyoplasms. The pat,iel1tsrange4 in age from15 to 51 years with average otJl Years. Out of these 15patients only four patients are temale with an inciQence of26.25G.Haempt;yois is th.e Ilainpl”e8enting symptom encounteredUl 13 patients of this group. Irr1tative cough is manifeatedin eight patients and recurrent chest infection in fivepatients. Other symptoms like chest pain, shortness ofbreat;’land wheezing coms later. SyMptoms related to thecarcinoid ayndrome are encountered in one patient.The duretion of these symptoms ranged from J months upto 6 years. Physical signs in the chest are variable andnot pathognomonic.The K-~·ay presentation is as varied as the clinicalpicture. Brol1chography h~lps to delineate the twoour or to·~------,- 59 -rov~al the pr-c.eDceof seeo~~ bror-cb1ect_~14 ehaD~e8dlatOllto the t nmour, The roOe’!:J.lQl~l.l.l diagl’los~ic tool iscr onchoaccp Lc Q;carni..i.1atiora en~ biopsy chat clt3sritled thedisL110sia Ln 12 patients or ~ of tht. 15 patients. In ther,,(U;:i.ning J patients, the diagDOslswaa po”,,1ble onl:1 attel’puln~~aryrosection.Eightcasef:l have t he tUlllOUl’ in the right ·bronchop.,’~narytree, vh’lile six in thB le~~ ~~d ono in ’.e trachea. ~heillhrmodiato bronchus is the dom$pallt site (4 cases) followedby tile ri211t lower lobe and the left upp,er lobo (j casesi..n each). The histological nat~e is confirmed in l~ ~a.esout of the 15 cases. Nine caees (75%), of the carcinoidtJpc are :mCotwtered, while, the adenoid cystic carcinoma.the iilttco