Intrabronchial leiomyoma treated by localized resection via bronchotomy and bronchoplasty.

There have been no reports of intrabronchial leiomyomas treated by bronchotomy and bronchoplasty. Most intrabronchial leiomyomas have been treated by lobectomy or pneumonectomy because of their chronic infection or advanced parenchymal destruction. A leiomyoma of the left upper bronchus was diagnosed correctly by bronchoscopic biopsy, and successfully removed by localized resection via a bronchotomy and bronchoplasty. The site of excision was totally normal more than two years later. This conservative surgical procedure of an intrabronchial leiomyoma was useful for sparing lung parenchyma.