title: [Diagnosis and treatment for pulmonary sclerosing hemangioma].
abstract: BACKGROUND
  The concept of pulmonary sclerosing hemangioma (PSH) was proposed only 50 years ago. PSH features several characteristics that should be differently diagnosed with lung cancer. The aim of this study is to retrospectively review the diagnosis and treatment of 48 cases of PSH, review recent publications about this topic, and address reasonable diagnosis and treatment methods.
  
  
  METHODS
  Forty-eight patients with PSH were enrolled and consecutively treated from January 2001 to April 2011. Clinical presentations, image characteristics, pathologic morphologies, and prognostic data were analyzed.
  
  
  RESULTS
  Twenty-seven PSH cases (56.3%) were asymptomatic. Tumor diameters ranged from 0.2 to 7.0 cm, with an average diameter of 2.1 cm, and involved both lobes of the lungs. Enlarged lymph nodes in the mediastinum were detected via computed tomography (CT) scans in 15 cases (31.3%). Only 47 patients underwent surgery. Pulmonary wedge resection was performed in 29 cases (61.7%) while lobectomy was performed in 14 (29.8%). The tumor was removed in 3 cases (6.4%) and anterior mediastinal tumor resection was performed in 1 case (2.1%). Forty-seven patients reported no recurrence during follow-up while one patient refused surgery after a CT-guided biopsy with no progression during the 28-month follow up period.
  
  
  CONCLUSIONS
  The exact diagnosis of PSH is difficult prior to surgery. Surgery is an effective method of treatment that allows both definite diagnosis and accurate therapy. The prognosis of PSH is favorable.
authors.affiliation: Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Thoracic Surgery I,  Peking University School of Oncology, Beijing Cancer Hospital and Institute, Beijing 100142, China.
authors.forename: Shaohua
authors.initials: S
authors.lastname: Ma
authors.forename: Yu
authors.initials: Y
authors.lastname: Sun
authors.forename: Changzheng
authors.initials: C
authors.lastname: Du
authors.forename: Zhen
authors.initials: Z
authors.lastname: Liang
authors.forename: Hongchao
authors.initials: H
authors.lastname: Xiong
authors.forename: Keneng
authors.initials: K
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D047868:Pulmonary Sclerosing Hemangioma / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult