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Pulmonary sclerosing pneumocytoma mimicking carcinoid on preoperative imaging in a 14-year-old female

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Abstract

Pulmonary sclerosing pneumocytoma is a rare benign neoplasm of the lung, commonly occurs in middle-aged persons with a marked female predominance. Earlier, it was known as sclerosing hemangioma. Here, we present a case of pulmonary sclerosing pneumocytoma which was diagnosed as carcinoid of the lung, based on imaging, in a 14-year-old female. Besides radiology, the uniqueness of this case lies in the young age (14 years) of the patient. She was presented with a 3.3 × 2.5 × 2.2 cm soft tissue density mass with a tiny speck of calcification in the anterior basal segment of the lower lobe of the right lung. Based on imaging findings on fluorodeoxyglucose positron emission tomography (FDG PET) scan and DOTANOC scan, a diagnosis of carcinoid was made. We performed a video-assisted thoracoscopic right lower lobectomy. Histopathological examination showed features of pulmonary sclerosing pneumocytoma. Surgery is an established method of treatment for pulmonary sclerosing pneumocytoma. Enucleation, lobectomy, sleeve resection are possible treatment options. To define the role of adjuvant therapy, further direct evidence is required. The metastatic potential of this disease is yet to be established.

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All authors whose names appear on the submission:

1. Made substantial contributions to the conception or design of the work (Sunil Kumar, Amitabha Mandal, Madiwalesh Chhebbi, Sourabh Nandi, Shipra Agarwal, Sreedharan Thankarajan Arunraj); or the acquisition (Sunil Kumar, Amitabha Mandal), analysis (Madiwalesh Chhebbi, Sourabh Nandi), and interpretation of data (Sunil Kumar, Shipra Agarwal, Sreedharan Thankarajan Arunraj).

2. Drafted the work or revised it critically for important intellectual content (all authors);

3. Approved the version to be published (all authors); and

4. Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved (all authors).

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Correspondence to Sunil Kumar.

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Informed written consent was taken before surgery as per institutional policy.

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Consent for publication was taken from the mother (legal guardian) of the patient.

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The authors declare no competing interests.

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Mandal, A., Kumar, S., Chhebbi, M. et al. Pulmonary sclerosing pneumocytoma mimicking carcinoid on preoperative imaging in a 14-year-old female. Indian J Thorac Cardiovasc Surg (2021). https://doi.org/10.1007/s12055-021-01153-w

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Keywords

  • Pulmonary sclerosing pneumocytoma
  • VATS
  • Lobectomy