title: Surgery for Pulmonary Sclerosing Hemangioma: Lobectomy versus Limited Resection.
abstract: BACKGROUND
  Pulmonary sclerosing hemangioma is a rare thoracic tumor, and pathophysiology or clinical course of this tumor is not yet fully described. Furthermore, there is no consensus on the standard operative procedure for this tumor.
  
  
  METHODS
  Medical records of thirty-two patients, who underwent surgical resection of pulmonary sclerosing hemangioma from 1996 to 2007, were retrospectively reviewed.
  
  
  RESULTS
  Nineteen patients underwent lobectomy and thirteen patients underwent limited resection. Video-assisted thoracoscopic surgery was performed in 9 patients in the latter group. Lymph node dissection was done in 21 patients, and one patient was found to have lymph node metastasis of the tumor. There was no postoperative complication, no early death and no tumor-related late mortality. The mean follow-up duration was 39.3 months (2 months~129 months), and all patients were free of local recurrence and distant metastasis during this period. There was no significant difference in patient's characteristics between the two groups, except that the mean hospital stay was shorter in limited resection group than in lobectomy group (p=0.0031).
  
  
  CONCLUSIONS
  Pulmonary sclerosing hemangioma usually requires surgical resection for both diagnosis and treatment. Limited resection can decrease hospital stay with a surgical outcome comparable to lobectomy, and may be preferred to lobectomy if sufficient resection margin can be achieved.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
authors.forename: Joon Seok
authors.initials: JS
authors.lastname: Park
authors.forename: Kwhanmien
authors.initials: K
authors.lastname: Kim
authors.forename: Sumin
authors.initials: S
authors.lastname: Shin
authors.forename: Hunbo
authors.initials: H
authors.lastname: Shim
authors.forename: Hong Kwan
authors.initials: HK
authors.lastname: Kim