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[Pulmonary sclerosing hemangioma with lymph node metastasis]
Hidefumi Kita1, Yuji Shiraishi, Naoya Katsuragi
1The Section of Chest Surgery, Fukujuji Hospital, Kiyose, Tokyo.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 11, 2013
Summary
Pulmonary sclerosing hemangioma is a rare lung tumor. This case highlights its detection via imaging and confirmation through surgical resection and lymph node biopsy.
Area of Science:
- Pulmonology
- Surgical Oncology
- Pathology
Background:
- Pulmonary sclerosing hemangioma (PSH) is an uncommon benign lung tumor.
- Early detection and accurate diagnosis are crucial for effective management.
Observation:
- A 38-year-old woman presented with an abnormal shadow on chest X-ray.
- CT scan revealed a 3.9 cm nodule in the left S6 pulmonary segment.
- Preoperative bronchoscopy was inconclusive for diagnosis.
Findings:
- Surgical exploration and frozen section analysis suggested a low-grade malignancy.
- Segmentectomy of the left S6 and lymph node sampling were performed.
- Pathological diagnosis confirmed pulmonary sclerosing hemangioma with metastatic involvement of an interlober lymph node.
Implications:
- This case underscores the importance of considering PSH in the differential diagnosis of pulmonary nodules.
- Metastatic spread to lymph nodes, though rare, necessitates thorough pathological examination.
- Multidisciplinary approaches involving imaging, bronchoscopy, and surgical pathology are vital for diagnosing and managing PSH.
