Pulmonary sclerosing pneumocytoma presenting as slow-growing multiple nodules over a long period.

Biopsy Multiple nodules Pulmonary sclerosing hemangioma Pulmonary sclerosing pneumocytoma

Journal

Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888

Informations de publication

Date de publication:
May 2019
Historique:
received: 22 01 2019
revised: 20 02 2019
accepted: 23 02 2019
entrez: 21 3 2019
pubmed: 21 3 2019
medline: 21 3 2019
Statut: epublish

Résumé

Pulmonary sclerosing pneumocytoma is an uncommon slow-growing benign tumor that usually occurs in middle-aged women and generally presents as a solitary well-defined nodule. An 18-year-old woman was incidentally detected to have multiple lung nodules on chest radiography that slowly increased in size over a period of 7 years. Computed tomography images showed multiple well-defined nodules surrounded by numerous smaller nodules with a maximum diameter of 3 cm in the left lung. A percutaneous core needle biopsy was performed, but malignancy could not be excluded because of the high proportion of papillary structures. A video-assisted partial wedge resection was performed and the pathologic diagnosis was pulmonary sclerosing pneumocytoma. Pulmonary sclerosing pneumocytoma presenting as multiple lung nodules is a rare but very important condition to include in the differential diagnosis of multiple lung nodules. There is a possibility of misdiagnosis of another type of tumor or malignancy on preoperative biopsy. We should be aware not only of the clinical, radiologic, and pathologic features of pulmonary sclerosing pneumocytoma but also of the potential pitfalls in its diagnosis and management.

Identifiants

pubmed: 30891111
doi: 10.1016/j.radcr.2019.02.024
pii: S1930-0433(19)30025-1
pmc: PMC6407144
doi:

Types de publication

Case Reports

Langues

eng

Pagination

602-607

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Auteurs

Kazuhiko Morikawa (K)

Department of Radiology, The Jikei University School of Medicine, Tokyo, Japan.

Shigeki Misumi (S)

Department of Radiology, The Jikei University School of Medicine, Tokyo, Japan.

Taiki Fukuda (T)

Department of Radiology, The Jikei University School of Medicine, Tokyo, Japan.

Hiroya Ojiri (H)

Department of Radiology, The Jikei University School of Medicine, Tokyo, Japan.

Hideki Matsudaira (H)

Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Shun Sato (S)

Department of Pathology, The Jikei University School of Medicine, Tokyo, Japan.

Classifications MeSH