Oncocytoma |
Surgical resection |
Multimodality bronchoscopic resection |
Mucus gland adenoma |
Multimodality bronchoscopic resection |
Surgical resection |
Adenoid cystic carcinoma |
(I) Surgical resection |
(II) Multimodality bronchoscopic resection |
(III) Pneumonectomy if there is extensive bronchial involvement |
(IV) Radiotherapy with radical doses of 60 Gy for palliative therapy |
Mucoepidermoid carcinoma |
Multimodality bronchoscopic resection |
Surgical resection |
Myoepithelial carcinoma |
Surgical resection |
Papilloma |
Multimodality bronchoscopic resection |
Carcinoid tumor |
(I) Surgical resection if tumor is localized (if metastatic there is little to offer) |
(II) Bronchoscopic ablation |
Leiomyoma |
(I) Surgical resection: |
• tracheal sleeve resection |
• segmental tracheal resection (anastomotic failure due to dehiscence and stenosis) |
• carinal resection |
• endoscopic resection |
(II) Multimodality bronchoscopic resection |
(III) Segmentectomy or lobectomy for tumors located at the lobar bronchus or more distal locations |
Schwannoma |
(I) Surgical resection |
(II) Endoscopic excision for more localized tumors and patients with poor pulmonary function |
Hamartoma |
(I) Multimodality bronchoscopic resection |
(II) Surgical resection |
Hemangioma |
(I) Multimodality bronchoscopic resection |
(II) Selective bronchial artery embolization by interventional radiology |
(III) High-dose corticosteroids in children and young adults |
Lipoma |
(I) Multimodality bronchoscopic resection |
(II) Surgical resection if there is atypical features |
(III) Lobectomy or pneumonectomy if there is parenchymal involvement |
Chondroma |
Endoscopic excision |
Glomus tumor |
(I) Sleeve resection with primary reconstruction of the trachea |
(II) Multimodality bronchoscopic resection if tumor is confined to the airway lumen without extension into the wall or urgent situations to maintain airway patency |
Granular cell tumor |
(I) Surgical resection |
(II) Multimodality bronchoscopic resection |
Endobronchial T-cell lymphoma |
(I) Systemic chemotherapy: pirarubicin, cyclophosphamide, vincristine, and steroids |
(II) Surgical resection (after chemotherapy) |
Fibrosarcoma |
Multimodality bronchoscopic resection |
Chondrosarcoma |
(I) Surgical resection |
(II) Adjuvant chemotherapy and/or radiation therapy for extensive tumors |
Inflammatory myofibroblastic tumor |
(I) Surgical resection (segmental tracheal resection) |
(II) Multimodality bronchoscopic resection |
(III) Wide local excision along with adjuvant radiation therapy |
(IV) NSAIDs, steroids and ALK-inhibitors such as crizotinib in localized, unresectable tumors |
Solitary extramedullary plasmacytoma |
(I) Argon plasma coagulation via rigid bronchoscopy for narrow-base tumors |
(II) Surgical resection followed by radiotherapy for wide-base tumors |