Pulmonary sclerosing hemangioma with pleural dissemination: report of a case.
Pulmonary sclerosing hemangioma is relatively rare and is usually considered a benign tumor. There have been no reports of pulmonary sclerosing hemangioma with pleural dissemination. This report presents an extremely rare case of pulmonary sclerosing hemangioma with pulmonary dissemination. A 57-year-old woman was found to have an abnormal shadow in the right lower lung field on chest X-ray. Chest computed tomography (CT) indicated a 2.5-cm mass in the right lower lobe. A bronchoscopic biopsy failed to identify malignant cells, which led to the patient undergoing an excisional lung biopsy. Intraoperative findings showed a tumor in the right lower lobe with multiple small nodules in the pleura. The pathological findings revealed that the tumor was sclerosing hemangioma with pleural dissemination. Annual follow-up CT showed irregular pleural thickness, which suggested progressive dissemination 3 years after the operation. Although pulmonary sclerosing hemangioma is regarded as a benign tumor, the potential for malignancy may be a consideration in this setting.
Department of Thoracic Surgery, Narita Red-Cross Hospital, 90-1 Iidacho, Narita, Chiba, Japan.
Hidemi
H
Suzuki
Yukio
Y
Saitoh
Eitetsu
E
Koh
Hidehisa
H
Hoshino
Daisuke
D
Kase
Yoshihiko
Y
Kasei
Yasuji
Y
Azuhata
Hirohisa
H
Kishi
Kenzo
K
Hiroshima
Yasuo
Y
Sekine
D005260:Female; D006801:Humans; D008875:Middle Aged; D010994:Pleura / Q000473:pathology*; D047868:Pulmonary Sclerosing Hemangioma / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed
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