Abstract
In 2015, benign lung tumors were defined by the World Health Organization (WHO) as extremely rare tumors originating from three different cell types, namely epithelial, mesenchymal, and ectopic [1] (Table 1).
References
Travis WD, Brambilla E, Burke AP, et al. Introduction to the 2015 World Health Organization classification of tumors of the lung, pleura, thymus, and heart. J Thorac Oncol. 2015;10(9):1240–2.
Robinson PG, Shields TW. Benign tumors of the lung. In: Shields TW, Locicero J, Reed CE, Feins RH, editors. General thoracic surgery, vol. 2. 7th ed. Philadelphia: Lippincott Williams and Wilkins; 2009.
Martini N. Results of the memorial Sloan-Kettering lung project. In: Early detection and localization of lung tumors in high risk groups. Berlin, Heidelberg: Springer; 1982. p. 174–8.
Jones RC, Cleve EA. Solitary circumscribed lesions of the lung. Arch Intern Med. 1954;93(6):842–9.
Yüksel M, Akgül A. Akciğerin iyi huylu tümörleri. In: Yüksel M, Kalaycı NG, editors. Göğüs cerrahisi. İstanbul: Bilmedya Grup; 2001.
Thomas JW, Staerkel GA, Whitman GJ. Pulmonary hamartoma. AJR Am J Roentgenol. 1999;172(6):1643.
Arrigoni MG, Woolner LB, Bernatz PE, et al. Benign tumors of the lung: a ten-year surgical experience. J Thorac Cardiovasc Surg. 1970;60(4):589–99.
McDonald JR, Harrinhgton SW, Clagett OT, et al. Solitary circumscribed lesions of the lung. Arch Intern Med. 1954;93:842.
Dahnert W. Radiology review manual. 3rd ed. Baltimore: Williams & Wilkins; 1996. p. 364.
Bateson EM. So-called hamartoma of the lung-a true neoplasm of fibrous connective tissue of the bronchi. Cancer. 1973;31(6):1458–67.
Kazmierczak B, Rosigkeit J, Wanschura S, et al. HMGI-C rearrangements as the molecular basis for the majority of pulmonary chondroid hamartomas: a survey of 30 tumors. Oncogene. 1996;12(3):515.
Siegelman SS, Khouri NF, Scott W Jr, et al. Pulmonary hamartoma: CT findings. Radiology. 1986;160(2):313–7.
Oldham HN Jr, Young WG Jr, Sealy WC. Hamartoma of the lung. J Thorac Cardiovasc Surg. 1967;53:735–42.
Ledor K, Fish B, Chaise L, et al. CT diagnosis of pulmonary hamartomas. J Comput Assist Tomogr. 1981;5:343–4.
Hansen CP, Holtveg H, Francis D, et al. Pulmonary hamartoma. J Thorac Cardiovasc Surg. 1992;104(3):674–8.
Hamper UM, Khouri NF, Stitik FP, et al. Pulmonary hamartoma: diagnosis by transthoracic needle-aspiration biopsy. Radiology. 1985;155(1):15–8.
Carney JA. Carney triad: a syndrome featuring paraganglionic, adrenocortical, and possibly other endocrine tumors. J Clin Endocrinol Metabol. 2009;94(10):3656–62.
Bini A, Grazia M, Petrella F, et al. Multiple chondromatous hamartomas of the lung. Interact Cardiovasc Thorac Surg. 2002;1(2):78–80.
Gebauer C. Hamartochondroma der Lungen und Bronchien. Prax Klin Pneumo I. 1980;34:641–50.
Karasik A, Modan M, Jacob CO, et al. Increased risk of lung cancer in patients with chondromatous hamartoma. J Thorac Cardiovasc Surg. 1980;80(2):217–20.
Nili M, Vidne BA, Avidor I, et al. Multiple pulmonary hamartomas; a case report and review of the literature. Scand J Thorac Cardiovasc Surg. 1979;13(2):157–60.
Hoekstra MO, Bertus PM, Nikkels PG, et al. Multiple pulmonary chondromata: a rare cause of neonatal respiratory distress. Chest. 1994;105(1):301–2.
Tian D, Wen H, Zhou Y, et al. Pulmonary chondroma: a clinicopathological study of 29 cases and a review of the literature. Mol Clin Oncol. 2016;5(3):211–5.
Shi G, Cui Y, He Y, et al. An unusual case of incomplete Carney triad: an 18-year-old girl suffering from multiple benign tumors. J Thorac Dis. 2016;8(10):E1202.
Carney JA, Sheps SG, Go VL, et al. The triad of gastric leiomyosarcoma, functioning extra-adrenal paraganglioma and pulmonary chondroma. N Engl J Med. 1977;296(26):1517–8.
Spatz A, Paillerets BBD, Raymond E. Soft tissue sarcomas: CASE 3. Gastrointestinal stromal tumor and Carney’s triad. J Clin Oncol. 2004;22(10):2029–31.
Qiao GB, Zeng WS, Peng LJ, et al. Multiple pulmonary chondromas in a young female patient: a component of Carney triad. J Thorac Oncol. 2009;4(6):751–2.
Vega J, Navarro SJ, Lovera RC, et al. Carney triad: report of one case. Rev Med Chil. 2017;145(4):533.
Hornick JL, Fletcher CDM. PEComa: what do we know so far? Histopathology. 2006;48(1):75–82.
Travis WD, Colby T, Corrin B, et al. In collaboration with LHS, Countries pf. Histological typing of lung and pleural tumors. Berlin: Springer; 1999.
Travis WD, Brambilla E, Müller-Hermelink HK, et al. Pathology and genetics: tumours of the lung, pleura, thymus and heart. Lyon: IARC; 2004.
Taylor JR, Ryu J, Colby TV, et al. Lymphangioleiomyomatosis. N Engl J Med. 1990;323:1254–60.
Carrington CB, Cugell DW, Gaensler EA, et al. Lymphangioleiomyomatosis. Physiologic-pathologic-radiologic correlations. Am Rev Respir Dis. 1977;116(6):977–95.
Yamazaki A, Miyamoto H, Futagawa T, et al. An early case of pulmonary lymphangioleiomyomatosis diagnosed by video-assisted thoracoscopic surgery. Ann Thorac Cardiovasc Surg. 2005;11:405–7.
Ryu JH, Moss J, Beck GJ, et al. The NHLBI lymphangioleiomyomatosis registry: characteristics of 230 patients at enrollment. Am J Respir Crit Care Med. 2006;173:105–11.
Park HY, Nam HS, Chung MP, et al. A nationwide survey of lymphangioleiomyomatosis in Korea: recent increase in newly diagnosed patients. J Korean Med Sci. 2010;25(8):1182–6.
Johnson SR, Cordier JF, Lazor R, et al. European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis. Eur Respir J. 2010;35(1):14–26.
Hohman DW, Noghrehkar D, Ratnayake S. Lymphangioleiomyomatosis: a review. Eur J Intern Med. 2008;19(5):319–24.
Çağırıcı U. Akciğerin benign ve ender görülen malign tümörleri. In: Ökten İ, Güngör A, editors. Göğüs Cerrahisi. Ankara: Sim Matbaacılık; 2003. p. 1039–52.
Zeybek AA, Demircan A. Akciğerin benign tümörleri. In: Ökten İ, Kavukçu HŞ, editors. Göğüs Cerrahisi. İstanbul: İstanbul Medikal Sağlık ve Yayıncılık; 2013.
Logginidou H, Ao X, Russo I, et al. Frequent estrogen and progesterone receptor immunoreactivity in renal angiomyolipomas from women with pulmonary lymphangioleiomyomatosis. Chest. 2000;117(1):25–30.
Brunelli A, Catalini G, Fianchini A. Pregnancy exacerbating unsuspected mediastinal lymphangioleiomyomatosis and chylothorax. Int J Gynaecol Obstet. 1996;52(3):289–90.
Carsillo T, Astrinidis A, Henske EP. Mutations in the tuberous sclerosis complex gene TSC2 are a cause of sporadic pulmonary lymphangioleiomyomatosis. Proc Natl Acad Sci. 2000;97(11):6085–90.
McCormack FX, Travis WD, Colby T, et al. Lymphangioleiomyomatosis: calling it what it is: a low-grade, destructive, metastasizing neoplasm. Am J Respir Crit Care Med. 2012;186(12):1210–2.
Johnson SR, Whale CI, Hubbard RB, et al. Survival and disease progression in UK patients with lymphangioleiomyomatosis. Thorax. 2004;59(9):800–3.
McCormack FX. Lymphangioleiomyomatosis: a clinical update. Chest. 2008;133(2):507–16.
Taveira-DaSilva AM, Burstein D, Hathaway OM, et al. Pneumothorax after air travel in lymphangioleiomyomatosis, idiopathic pulmonary fibrosis, and sarcoidosis. Chest. 2009;136(3):665–70.
Taveira-DaSilva AM, Steagall WK, Moss J. Lymphangioleiomyomatosis. Cancer Control. 2006;13:276–85.
Dail DH, Hammar SP, Colby TV. Uncommon tumors. In: Pulmonary pathology – tumors. New York: Springer Science & Business Media; 2012. p. 219–24.
Sen S, Senturk E, Kuman NK, et al. PEComa (clear cell “sugar” tumor) of the lung: a benign tumor that presented with thrombocytosis. Ann Thorac Surg. 2009;88(6):2013–5.
Yazak V, Sargin G, Yavasoglu I, et al. Lung clear “sugar” cell tumor and JAK V617F positive essential thrombocythemia: a simple coincidence? Mediterr J Hematol Infect Dis. 2013;5(1):e2013021.
McGinnis M, Jacobs G, El-Naggar AK, et al. Congenital peribronchial myofibroblastic tumor (so-called “congenital leiomyosarcoma”). A distinct neonatal lung lesion associated with nonimmune hydrops fetalis. Mod Pathol. 1993;6(4):487–92.
Luisi F, Torre O, Harari S. Thoracic involvement in generalised lymphatic anomaly (or lymphangiomatosis). Eur Respir Rev. 2016;25(140):170–7.
Ming-hua DU, Ruan-jian YE, Kun-kun SUN, et al. Diffuse pulmonary lymphangiomatosis: a case report with literature review. Chin Med J. 2011;124(5):797–800.
El Hajj L, Mazieres J, Rouquette I, et al. Diagnostic value of bronchoscopy, CT and transbronchial biopsies in diffuse pulmonary lymphangiomatosis: case report and review of the literature. Clin Radiol. 2005;60(8):921–5.
Yu W, Mi L, Cong J, et al. Diffuse pulmonary lymphangiomatosis: a rare case report in an adult. Medicine. 2019;98(43):e17349.
Lee AW, Rajanayagam J, Sarikwal A, et al. Hepatobiliary and pancreatic: liver transplantation for massive hepatic lymphangiomatosis. J Gastroenterol Hepatol. 2014;29(2):233.
Rostom AY. Treatment of thoracic lymphangiomatosis. Arch Dis Child. 2000;83(2):138–9.
Zhou H, Zhong C, Fu Q, et al. Thoracoscopic resection of a huge mediastinal cystic lymphangioma. J Thorac Dis. 2017;9(10):E887.
Amodeo I, Colnaghi M, Raffaeli G, et al. The use of sirolimus in the treatment of giant cystic lymphangioma: four case reports and update of medical therapy. Medicine. 2017;96(51):e8871.
Laforgia N, Schettini F, De Mattia D, et al. Lymphatic malformation in newborns as the first sign of diffuse lymphangiomatosis: successful treatment with sirolimus. Neonatology. 2016;109(1):52–5.
Nammour S, Vanheusden A, Namour A, et al. Evaluation of a new method for the treatment of invasive, diffuse, and unexcisable lymphangiomas of the oral cavity with defocus CO2 laser beam: a 20-year follow-up. Photomed Laser Surg. 2016;34(2):82–7.
Alexiou C, Obuszko Z, Beggs D. Inflammatory pseudotumors of the lung. Ann Thorac Surg. 1998;66:948–50.
Karnak I, Senocak ME, Ciftci AO, et al. Inflammatory myofibroblastic tumor in children: diagnosis and treatment. J Pediatr Surg. 2001;36(6):908–12.
Umiker WO. Post-inflammatory “tumors” of the lung. Report of four cases simulating xanthoma, fibroma or plasma cell tumor. J Thorac Surg. 1954;28:55–63.
Döngel I, Yazkan R, Duman L, et al. Huge inflammatory myofibroblastic tumor of pleura with concomitant nuchal fibroma. Ann Thorac Surg. 2013;96(4):1461–4.
Narla LD, Newman B, Spottswood SS, et al. Inflammatory pseudotumor. Radiographics. 2003;23(3):719–29.
Hedlund GL, Navoy JF, Galliani CA, et al. Aggressive manifestations of inflammatory pulmonary pseudotumor in children. Pediatr Radiol. 1999;29:112–6.
Coffin CM. Inflammatory myofibroblastic tumour: World Health Organization classification of tumours. In: Fletcher CDM, Mertens F, editors. World Health Organization classification of tumours pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press; 2002.
Ono A, Murakami H, Serizawa M, et al. Drastic initial response and subsequent response to two ALK inhibitors in a patient with a highly aggressive ALK-rearranged inflammatory myofibroblastic tumor arising in the pleural cavity. Lung Cancer. 2016;99:151–4.
Griffin CA, Hawkins AL, Dvorak C, et al. Recurrent involvement of 2p23 in inflammatory myofibroblastic tumors. Cancer Res. 1999;59(12):2776–80.
Chan JK, Cheuk W, Shimizu M. Anaplastic lymphoma kinase expression in inflammatory pseudotumors. Am J Surg Pathol. 2001;25(6):761–8.
Kovach SJ, Fischer AC, Katzman PJ, et al. Inflammatory myofibroblastic tumors. J Surg Oncol. 2006;94(5):385–91.
Shanmuganathan A, Dhungel K, Mahale A, et al. Inflammatory myofibroblastic tumor of lung (pseudotumor of the lung). Indian J Radiol Imaging. 2006;16(2):207–10.
Meis JM, Enzinger FM. Inflammatory fibrosarcoma of the mesentery and retroperitoneum. A tumor closely simulating inflammatory pseudotumor. Am J Surg Pathol. 1991;15(12):1146–56.
Melloni G, Carretta A, Ciriaco P, et al. Inflammatory pseudotumor of the lung in adults. Ann Thorac Surg. 2005;79(2):426–32.
Mehta J, Desphande S, Stauffer JL, et al. Plasma cell granuloma of the lung: endobronchial presentation and absence of response to radiation therapy. South Med J. 1980;73(9):1198–201.
Mandelbaum I, Brashear RE, Hull MT. Surgical treatment and course of pulmonary pseudotumor (plasma cell granuloma). J Thorac Cardiovasc Surg. 1981;82(1):77–82.
Sanchez PG, Madke GR, Pilla ES, et al. Endobronchial inflammatory pseudotumor: a case report. J Bras Pneumol. 2007;33(4):484–6.
Çobanoğlu U, Kırgın HÖ, Uğurluer G. Akciğerin İnflamatuar Psödotümörü: Olgu Sunumu. Van Tıp Dergisi. 2008;15(3):95–8.
Higashiyama M, Kodama K, Yokouchi H, et al. Myoepithelioma of the lung: report of two cases and review of the literature. Lung Cancer. 1998;20(1):47–56.
Morinaga S, Nakajima T, Shimosato Y. Normal and neoplastic myoepithelial cells in salivary glands: an immunohistochemical study. Hum Pathol. 1987;18(12):1218–26.
Rosai J. Major and minor salivary glands. In: Stamathi G, editor. Ackerman’s surgical pathology. 7th ed. St. Louis: Mosby; 1989. p. 655–7.
Luna MA, Batsakis JG, Ordonez NG, et al. Salivary gland adenocarcinomas: a clinicopathologic analysis of three distinctive types. Semin Diagn Pathol. 1987;4(2):117–35.
Erkiliç S, Koçer NE, Tuncozgur B. Peripheral intrapulmonary lipoma: a case report. Acta Chir Belg. 2007;107(6):700–2.
Wood J, Henderson RG. Peripheral intrapulmonary lipoma: a rare lung neoplasm. Br J Radiol. 2004;77(913):60–2.
Döngel I, Duman L, Camas HE. Hypertrophic epicardial adipose tissue mimicking a thoracic mass. Asian Cardiovasc Thorac Ann. 2017;25(5):406.
Kim NR, Kim HJ, Kim JK, et al. Intrapulmonary lipomas: report of four cases. Histopathology. 2003;42(3):305–6.
Sugio K, Yokoyama H, Kaneko S, et al. Sclerosing hemangioma of the lung: radiographic and pathological study. Ann Thorac Surg. 1992;53(2):295–300.
Muraoka M, Oka T, Akamine S, et al. Endobronchial lipoma: review of 64 cases reported in Japan. Chest. 2003;123(1):293–6.
Sugarbaker DJ. Benign lung masses. In: Platis IE, Bogner PN, Nwogu CE, editors. Adult chest surgery. New York: The McGraw-Hill Companies; 2009. p. 666–709.
Kuruvilla S, Saldanha R, Joseph LD. Recurrent respiratory papillomatosis complicated by aspergillosis: a case report with review of literature. J Postgrad Med. 2008;54(1):32.
Oldham JH. Benign tumors of the lung and bronchus. Surg Clin North Am. 1980;60(4):825–34.
Böhm J, Fellbaum C, Bautz W, et al. Pulmonary nodule caused by an alveolar adenoma of the lung. Virchows Arch. 1997;430(2):181–4.
Ishida T, Kamachi M, Hanada T, et al. Mucous gland adenoma of the trachea resected with an endoscopic neodymium: yttrium aluminum garnet laser. Intern Med. 1996;35(11):890–3.
Popper HH, El-Shabrawi Y, Wöckel W, et al. Prognostic importance of human papilloma virus typing in squamous cell papilloma of the bronchus: comparison of in situ hybridization and the polymerase chain reaction. Hum Pathol. 1994;25(11):1191–7.
Miura H, Tsuchida T, Kawate N, et al. Asymptomatic solitary papilloma of the bronchus: review of occurrence in Japan. Eur Respir J. 1993;6(7):1070–3.
Flieder DB, Koss MN, Nicholson A, et al. Solitary pulmonary papillomas in adults: a clinicopathologic and in situ hybridization study of 14 cases combined with 27 cases in the literature. Am J Surg Pathol. 1998;22(11):1328–42.
Tryfon S, Dramba V, Zoglopitis F, et al. Solitary papillomas of the lower airways: epidemiological, clinical, and therapeutic data during a 22-year period and review of the literature. J Thorac Oncol. 2012;7(4):643–8.
Katzenstein AL, Gmelich JT, Carrington CB. Sclerosing hemangioma of the lung: a clinicopathologic study of 51 cases. Am J Surg Pathol. 1980;4(4):343–56.
Iyoda A, Hiroshima K, Shiba M, et al. Clinicopathological analysis of pulmonary sclerosing hemangioma. Ann Thorac Surg. 2004;78(6):1928–31.
Devouassoux-Shisheboran M, Hayashi T, Linnoila RI, et al. 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(7):906–16.
Chan AC, Chan JK. Pulmonary sclerosing hemangioma consistently expresses thyroid transcription factor-1 (TTF-1): a new clue to its histogenesis. Am J Surg Pathol. 2000;24(11):1531–6.
Liebow AA, Hubbell DS. Sclerosing hemangioma (histiocytoma, xanthoma) of the lung. Cancer. 1956;9(1):53–75.
Niho S, Suzuki K, Yokose T, et al. Monoclonality of both pale cells and cuboidal cells of sclerosing hemangioma of the lung. Am J Pathol. 1998;152(4):1065.
Kavas M, Öztürk A, Derdiyok O, et al. Rare lung tumors: alveolar adenoma-four case reports. Turkish Thorac J. 2019;20(3):203.
Oliveira P, Almeida MO, Nunes JM, et al. Alveolar adenoma of the lung: further characterization of this uncommon tumour. Virchows Arch. 1996;429(2–3):101–8.
Wang L, Wang X, Rustam A, et al. Alveolar adenoma resected by thoracoscopic surgery. Ann Thorac Cardiovasc Surg. 2013;19(6):489–91.
Wang X, Li WQ, Yan HZ, et al. Alveolar adenoma combined with multifocal cysts: case report and literature review. J Int Med Res. 2013;41(3):895–906.
Fantone JC, Geisinger KR, Appelman HD. Papillary adenoma of the lung with lamellar and electron dense granules an ultrastructural study. Cancer. 1982;50(12):2839–44.
Spencer H, Dail DH, Arneaud J. Non-invasive bronchial epithelial papillary tumors. Cancer. 1980;45(6):1486–97.
Noguchi M, Kodama T, Shimosato Y, et al. Papillary adenoma of type 2 pneumocytes. Am J Surg Pathol. 1986;10(2):134–9.
Sánchez-Jiménez J, Ballester-Martínez A, Lodo-Besse J, et al. Papillary adenoma of type 2 pneumocytes. Pediatr Pulmonol. 1994;17(6):396–400.
Mori M, Chiba R, Tezuka F, et al. Papillary adenoma of type II pneumocytes might have malignant potential. Virchows Arch. 1996;428(3):195–200.
Minami Y, Morishita Y, Yamamoto T, et al. Cytologic characteristics of pulmonary papillary adenoma. A case report. Acta Cytol. 2004;48(2):243–8.
Dessy E, Braidotti P, Del Curto B, et al. Peripheral papillary tumor of type-II pneumocytes: a rare neoplasm of undetermined malignant potential. Virchows Arch. 2000;436(3):289–95.
Haruki T, Nakamura H, Taniguchi Y, et al. Pulmonary mucinous cystadenoma: a rare benign tumor of the lung. Gen Thorac Cardiovasc Surg. 2010;58(6):287–90.
Couraud S, Isaac S, Guibert B, et al. Bronchial mucous gland adenoma revealed following acute pneumonia. Interact Cardiovasc Thorac Surg. 2012;14(3):347–9.
England DM, Hochholzer L. Truly benign “bronchial adenoma”. Report of 10 cases of mucous gland adenoma with immunohistochemical and ultrastructural findings. Am J Surg Pathol. 1995;19(8):887–99.
Domen H, Iwashiro N, Kimura N, et al. Bronchial mucous gland adenoma. J Jpn Soc Respir Endosc. 2019;41(3):268–72.
Drevelegas A, Palladas P, Scordalaki A. Mediastinal germ cell tumors: a radiologic–pathologic review. Eur Radiol. 2001;11(10):1925–32.
Delmo Walter EM, Javier MF, Sander F, et al. Primary cardiac tumors in infants and children: surgical strategy and long-term outcome. Ann Thorac Surg. 2016;102:2062–9.
Myers PO, Kritikos N, Bongiovanni M, et al. Primary intrapulmonary thymoma: a systematic review. Eur J Surg Oncol (EJSO). 2007;33(10):1137–41.
Cesario A, Galetta D, Margaritora S, et al. Unsuspected primary pulmonary meningioma. Eur J Cardiothorac Surg. 2002;21(3):553–5.
Incarbone M, Ceresoli GL, Di Tommaso L, et al. Primary pulmonary meningioma: report of a case and review of the literature. Lung Cancer. 2008;62(3):401–7.
Meirelles GSP, Ravizzini G, Moreira AL, et al. Primary pulmonary meningioma manifesting as a solitary pulmonary nodule with a false-positive PET scan. J Thorac Imaging. 2006;21(3):225–7.
Yekeler E, Dursun M, Yilmazbayhan D, et al. Multiple pulmonary metastases from intracranial meningioma: MR imaging findings. Diagn Interv Radiol. 2005;11:28–30.
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Akın, S.E., Döngel, İ., Toker, A. (2023). Benign Tumors of the Lungs. In: Cingi, C., Yorgancıoğlu, A., Bayar Muluk, N., Cruz, A.A. (eds) Airway diseases. Springer, Cham. https://doi.org/10.1007/978-3-031-22483-6_82-1
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