A case of bilateral multiple pulmonary chondroma: necessity of follow-up for Carney's triad.
We report a case of pulmonary bilateral multiple chondromas that were possibly an initial clinical presentation of Carney's triad. A 56-year-old Japanese non-smoking asymptomatic woman was admitted to the hospital for further examination of small, multiple, bilateral nodules in the lungs. Although chest radiological findings suggested that the nodules were possibly metastatic pulmonary tumors, the malignant origin was not detected. During diagnostic video-assisted thoracic surgery, wedge resections including the nodules were performed. Since pathological examination showed nodules were surrounded by fibrous and eosinophilic stroma, we diagnose the nodules as chondromas. These chondromas were possibly components of Carney's triad, because each nodule had a thin fibrous pseudocapsule and did not have an entrapped epithelium and fat. Some patients die of Carney's triad because of malignant alteration of lesions. Therefore, the patients with Carney's triad should be taken a medical check periodically. This patient was scheduled to undergo the check-up for several years.
Departments of Surgery, Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwashi, Chiba, Japan. Ishii.hiroto@gmail.com
Hiroto
H
Ishii
Tadashi
T
Akiba
Hideki
H
Marushima
Yukiko
Y
Kanetsuna
Toshiaki
T
Morikawa
D001706:Biopsy; D002812:Chondroma / Q000175:diagnosis / Q000209:etiology*; D018210:Chondromatosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000209:etiology*; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D055613:Multiple Pulmonary Nodules / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010236:Paraganglioma, Extra-Adrenal / Q000175:diagnosis / Q000209:etiology*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000209:etiology*; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed