Under what circumstances should surgery for hamartoma be performed

Speaking of hamartoma, I believe many people have never heard of it, but this disease is real. Now many cases of hamartoma are found every year. Some patients with hamartoma do not understand the doctor's treatment method. Why do I have to have surgery? That patient with the same disease as me, why doesn't he have surgery? Today we will learn about when hamartoma surgery should be performed?

Hamartomas do not simply grow in specific parts of the body, so let's take a look at the different sites of disease. Under what circumstances should hamartomas be operated on?

First, let's talk about pulmonary hamartoma: Most pulmonary hamartomas are benign, and malignancy accounts for only about 0.5%, but the possibility of malignant transformation is not excluded. Most cases of pulmonary hamartoma can be treated with tumor removal or wedge resection. If the tumor is located at the hilum of the lung, is huge, or is difficult to separate from the hilar bronchus and blood vessels, or has caused irreversible pathological changes in distal lung tissue, lobectomy can be performed, and pneumonectomy is rarely required. Whether it is tumor removal or lobectomy, there is no recurrence after surgery.

Next, let’s look at renal hamartoma: Nephron-sparing surgery is feasible for tumors <5 cm and can be enucleated, especially if the tumor is at the edge of the kidney.

Then let's see when is the appropriate time to perform surgery on hepatic hamartoma: those who do not respond to drug treatment for precocious puberty; or those who are effectively treated but develop neurological symptoms such as ataxia and epileptic seizures during medication; or those who are financially unable to afford the cost of drug treatment; those who do not respond to drug treatment for gelastic epilepsy and other types of epilepsy; and those whose neurological dysfunction is caused by the mass effect of the tumor. All of them can undergo surgical treatment.

Finally, let’s look at breast hamartoma: For breast hamartoma, surgical resection is the best treatment. When the hamartoma grows to a certain size, the doctor will consider surgical treatment.