Skip to main content

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

We’re sorry, something doesn't seem to be working properly.

Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.


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.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2


  1. 1.

    Liebow AA, Hubbell DS. Sclerosing hemangioma (histiocytoma, xanthoma) of the lung. Cancer. 1956;9:53–75.

    CAS  Article  Google Scholar 

  2. 2.

    Devouassoux-Shisheboran M, Hayashi T, Linnoila RI, Koss MN, Travis WD. A clinicopathologic study of 100 cases of pulmonary sclerosing hemangioma with immunohistochemical studies: TTF-1 is expressed in both round and surface cells, suggesting an origin from primitive respiratory epithelium. Am J Surg Pathol. 2000;24:906–16.

  3. 3.

    Illei PB, Rosai J, Klimstra DS. Expression of thyroid transcription factor-1 and other markers in sclerosing hemangioma of the lung. Arch Pathol Lab Med. 2001;125:1335–9.

    CAS  Article  Google Scholar 

  4. 4.

    Lovrenski A, Vasilijević M, Panjković M, et al. Sclerosing pneumocytoma: a ten-year experience at a Western Balkan University Hospital. Medicina (Kaunas). 2019;55:27.

  5. 5.

    Travis WD, Brambilla E, Nicholson AG, et al. The 2015 World Health Organization classification of lung tumors: impact of genetic, clinical and radiologic advances since the 2004 classification. J Thorac Oncol. 2015;10:1243–60.

    Article  Google Scholar 

  6. 6.

    Shin SY, Kim MY, Oh SY, et al. Pulmonary sclerosing pneumocytoma of the lung: CT characteristics in a large series of a tertiary referral center. Medicine (Baltimore). 2015;94:e498.

    Article  Google Scholar 

  7. 7.

    Tanaka I, Inoue M, Matsui Y, et al. A case of pneumocytoma (so-called sclerosing hemangioma) with lymph node metastasis. Jpn J Clin Oncol. 1986;16:77–86.

    CAS  PubMed  Google Scholar 

  8. 8.

    Miyagawa-Hayashino A, Tazelaar HD, Langel DJ, Colby TV. Pulmonary sclerosing hemangioma with lymph node metastases: report of 4 cases. Arch Pathol Lab Med. 2003;127:321–5.

  9. 9.

    Kim KH, Sul HJ, Kang DY. Sclerosing hemangioma with lymph node metastasis. Yonsei Med J. 2003;44:150–4.

  10. 10.

    Fayers RW, Lim TS, Havlat MF. Pulmonary sclerosing pneumocytoma (sclerosing haemangioma): radical radiation therapy. J Med Imaging Radiat Oncol. 2016;60:693–5.

Download references



Author information




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).

Corresponding author

Correspondence to Sunil Kumar.

Ethics declarations

Ethics approval

Not applicable being a clinical case report with no experimental therapies.

Consent to participate

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

Consent for publication

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

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

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).

Download citation


  • Pulmonary sclerosing pneumocytoma
  • VATS
  • Lobectomy