Jamalul Azizi, MD

Infographic approach to malignant pleural effusion

A new infographic from the Thoracic Oncology and Chest Procedures Network outlines the stepwise approach to the management of recurrent malignant pleural effusion and nonexpandable lung. Learn more: https://hubs.la/Q04hj_rj0

2nd quarter 2026 IP fellows Hands on workshop

A 70-year-old smoker with hypertension and benign prostate hypertrophy had one bout of hemoptysis (small amount). CT thorax showed focal bronchiectasis and right lower lobe collapse with suspicion of an endobronchial mass in the right middle lobe. Flexible bronchoscopy revealed a smooth, vascularized mass over the right bronchus intermedius with post-obstruction mucus. Referred here for evaluation for rigid bronchoscopy and debulking. Underwent rigid bronchoscopy and debulking with electrocautery snaring and cryodebulking on 1/5/2026. Post-operative, well and discharged the next day. The mass was coagulated with APC prior to debulking, which prevented massive bleeding during the procedure. The mass was confirmed to arise from the right middle lobe, and the right lower lobe was re-canalized. The histology was carcinoid.

Rigid bronchoscopy via tracheostomy is not routinely performed as cases are rare. Rigid bronchoscopy via tracheostomy refers to performing rigid bronchoscopy through a tracheostomy stoma rather than the standard oral route. This is performed in patients with an existing tracheostomy or when access through the upper airway is difficult. A 56-year-old man with laryngeal carcinoma and very advanced emphysema, who had undergone surgery and chemotherapy 3 years ago, and who is on a permanent tracheostomy, presented with a cough and haemoptysis for 2 months. A CT scan revealed a mass on the main carina extending into the right main bronchus. We performed rigid bronchoscopy and debulking, followed by silicone Y stenting via the tracheostomy tube successfully.

A 64-year-old man has had a cough for 2 years. He has a history of choking while eating chiku. A CT thorax revealed severe pneumonia in the right lower lobe. Flexible bronchoscopy revealed a foreign body (chiku seed) obstructing the bronchus intermedius. Removal was attempted at another center via flexible bronchoscopy but was unsuccessful. The thoracic surgeon offered VATS bronchotomy. The patient refused and opted for rigid bronchoscopy removal. Removal was successful using large rigid forceps. The seed was removed en bloc with the rigid bronchoscope.

2nd quarter 2026 MABIP IP Fellows were introduced to rigid bronchoscopy and airway stenting today

Endobronchial myxoma is an extremely rare benign mesenchymal tumor that arises within the tracheobronchial tree. Pulmonary myxomas in general are uncommon, and the endobronchial location is even rarer compared to parenchymal forms. Only a handful of well-documented cases appear in medical literature worldwide. Although surgical resection is the treatment of choice, endoscopic resection maybe offered in select group of patients. Our former IP fellow Dr Muhammad Asif Khan from Pakistan published this case report during his fellowship in Malaysia. Congratulations 🎊🎈