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Pulmonary sclerosing hemangioma with pleural dissemination: Report of a case

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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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Authors and Affiliations

  1. Department of Thoracic Surgery, Narita Red-Cross Hospital, 90-1 Iidacho, Narita, Chiba, 286-8523, Japan

    Hidemi Suzuki, Yukio Saitoh, Eitetsu Koh & Hidehisa Hoshino

  2. Department of Pathology, Narita Red-Cross Hospital, 90-1 Iidacho, Narita, Chiba, 286-8523, Japan

    Daisuke Kase, Yoshihiko Kasei, Yasuji Azuhata & Hirohisa Kishi

  3. Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan

    Hidemi Suzuki & Hidehisa Hoshino

  4. Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba, Japan

    Kenzo Hiroshima

  5. Department of Thoracic Surgery, Tokyo Women’s Medical University, Yachiyo Medical Center, Yachiyo, Japan

    Hidemi Suzuki, Eitetsu Koh & Yasuo Sekine

Authors
  1. Hidemi Suzuki
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  2. Yukio Saitoh
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  3. Eitetsu Koh
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  4. Hidehisa Hoshino
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  5. Daisuke Kase
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  6. Yoshihiko Kasei
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  7. Yasuji Azuhata
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  8. Hirohisa Kishi
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  9. Kenzo Hiroshima
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  10. Yasuo Sekine
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Suzuki, H., Saitoh, Y., Koh, E. et al. Pulmonary sclerosing hemangioma with pleural dissemination: Report of a case. Surg Today 41, 258–261 (2011). https://doi.org/10.1007/s00595-009-4220-5

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  • DOI: https://doi.org/10.1007/s00595-009-4220-5

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