Primary endobronchial leiomyoma - endoscopic laser resection [Leiomioma endobrônquico primário - ressecção laser endoscópica]

Leiomyomas account for less than 2% of all benign lung tumors. only one third is endobronchial in location,usually presenting as primary solitary lesions and airway obstruction findings. literature on primary endobronchial leiomyomas is therefore scarce,with a few more than 100 cases being reported. we describe a case of a 44-year-old female that presented with asthma like symptoms and an obstructive pneumonia,due to a right main bronchus primary leiomyoma that was successfully resected using nd:yag laser through rigid bronchoscopy. the purpose of this case is to enhance the rarity of primary endobronchial leiomyoma diagnosis and report the relevance of laser resection in its definitive treatment. a brief review on lung leiomyomas is discussed over the text. © 2011 sociedade portuguesa de pneumologia. published by elsevier españa,s.l. all rights reserved.