Pulmonary sclerosing hemangioma with pleural dissemination: Report of a case |
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Authors: | Hidemi Suzuki Yukio Saitoh Eitetsu Koh Hidehisa Hoshino Daisuke Kase Yoshihiko Kasei Yasuji Azuhata Hirohisa Kishi Kenzo Hiroshima Yasuo Sekine |
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Affiliation: | (1) Department of Medicine, Division of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;(2) Department of Medicine, Division of Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands;(3) Department of Medicine, Division of Pulmonology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands;(4) Department of Medicine, Division of Pathology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands; |
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Abstract: | 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. |
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