title: Diagnosis of sclerosing hemangioma of lung: don't rely on fine-needle aspiration cytology diagnosis alone.
abstract: Sclerosing hemangioma is a rare variety of benign pulmonary neoplasm. It usually presents as asymptomatic, solitary, peripheral, circumscribed lesions in middle-aged women. Here, we describe a 46-year-old woman presenting to us for evaluation of right parahilar lung mass. Previous chest radiography done 10 years back showed a lung mass of almost similar size. Computed Tomography (CT)-guided fine-needle aspiration cytology (FNAC) was suggestive of adenocarcinoma of lung. A well-circumscribed, capsulated, ovoid mass measuring 5.6 cm × 4 cm × 3 cm, adjacent to the transverse fissure of the right lung was excised by lateral thoracotomy. Histopathological examination along with immunohistochemistry was suggestive of sclerosing hemangioma of lung. A pathologist must consider the clinicoradiological features before coming to a final diagnosis of lung malignancy from FNAC. Whenever there is any confusion regarding lung mass, thoracotomy must be done for arriving at an exact diagnosis from histopathology.
authors: Department of Pulmonary Medicine, Burdwan Medical College, Burdwan, India.
authors: Kaushik
authors: K
authors: Saha
authors: Niranjan Kr
authors: NK
authors: Sit
authors: Debraj
authors: D
authors: Jash
authors: Arnab
authors: A
authors: Maji
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis; D000077192:Adenocarcinoma of Lung; D044963:Biopsy, Fine-Needle; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D011650:Pulmonary Alveoli / Q000473:pathology*; D047868:Pulmonary Sclerosing Hemangioma / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D013908:Thoracotomy