Archive of Old Cases
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- Archive of Old Cases
- 2008
Case No : 540 Date 2008-03-03
- Courtesy of Sang Hyun Paik, MD, Choong Hee Shin, MD, Jai Soung Park, MD. / Department of Radiology, Soonchunhyang University Bucheon Hospital, Korea.
- Age/Sex 65 / F
- Chief ComplaintChest PA abnormality on a routine check-up, PHx: Total hysterectomy d/t cervical cancer (19 years ago)
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Sclerosing hemangioma
- Radiologic Findings
- Chest radiograph shows a well-defined, ovoid nodule in the left parahilar area.
There is about 20mm sized well-defined round nodule in left upper lobe. Pre-contrast CT scan (Fig.1-a) shows non-calcified, homogeneous soft tissue density nodule. After the contrast enhancement (Fig.1-b), the nodule is slightly enhanced on early contrast scan, and progressively enhanced (Fig.1-c) on delayed contrast CT scan.
After 4 years, follow up contrast enhanced CT scan(Fig.2) shows slightly increased size of nodule (25mm) with same nature in LUL. - Brief Review
- Relatively rare, benign neoplasm of the lung
Predominantly affects females over 50 years of age
Composed of two types of cells: cuboidal cells that line papillary structures and round to polygonal cells that form solid sheets
CT findings
- Solitary, well defined lesion
- Located in periphery of lung
- Marked contrast enhancement caused by its hemangiomatous component
Histoligical patterns: epitheloid(solid), papillary, sclerotic and hemorrhagic
Biopsy: definitive diagnostic test - Please refer to Case 142, Case 268, Case 401,
- References
- 1. Im JG, Kim WH, Han MC, Han YM, Chung JW, Ahn JM, Do YS. Sclerosing hemangiomas of the lung and interlobar fissures: CT findings. J Comput Assist Tomogr 1994; 18 : 34-38
2. Nam JE, Ryu YH, Cho SH, Lee Y, Kim HJ, Lee DY, Choe KO, Kim SJ. Air-trapping zone surrounding sclerosing hemangioma of the lung. J Comput Assist Tomogr 2002; 26: 358-361
3. Sugio K, Yokoyama H, Kaneko S, Ishida T, Sugimachi K. Sclerosing hemangioma of the lung: radiographic and pathological study. Ann Thorac Surg 1992; 53: 295-300 - Keywords
- Lung, Benign tumor,
No. of Applicants : 74
- ▶ Correct Answer : 21/74, 28.4%
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- - China Medical University , Taiwan Jun jun Yeh
- - National Taiwan University Hospital , Taiwan Chin-Chung Shu
- - CHR ANNECY , France Olivier SEGALL
- - Trakya Univercity School of Medicine armagan sarac
- - GMCH chandigarh , India sonali jain
- - Department of Radiology , Korea (South) Pyeong Guk Kang
- - Yonsei university Shinchon Severance hospital , Korea (South) Na-young Shin
- - Soonchunghyang university Bucheon hospital , Korea (South) Minhee Lee
- - Daegu Fatima Hospital , Korea (South) Tae-Hun Kim
- - National Taiwan University Hospital , Taiwan Chi Chen
- - radiology department , France gilles GENIN
- - Polyclinique de SAVOIE , France, Metropolitan GAY-DEPASSIER Philippe
- - EKH-Berlin , Germany Michael Weber
- - Homs National Hospital , Syria Rami Abou zalaf
- - Regional Imaging Ltd. - Riverina , Australia Rashid Hashmi
- - IRSA , France Jean-Luc BIGOT
- - Depatment of Radiology, Yongsan Hospital, College of Medicine, Chgung-Ang University , Korea (South) Jae Seung Seo
- - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
- - Armed Forces Chun-Cheon Hospital , Korea (South) Chae Lim
- - E-DA Hospital / I-Shou University , Taiwan Yu-Feng Wei
- - Soonchunhyang University Cheonan Hospital , Korea (South) Sang Hyun Park
- ▶ Correct Answer as Differential Diagnosis : 7/74, 9.5%
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- - Seoul National University Hospital , Korea (South) Hyun Ju Lee
- - Seoul National University Hospital , Korea (South) Sang Min Lee
- - Toronto General Hospital, University of Toronto , Canada Yon Mi Sung
- - CHU de Poitiers , France Paul ARDILOUZE
- - PITTWATER RADIOLOGY , Australia Julie Arora
- - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
- - Gimpo Woori Hospital , Korea (South) Son Youl Lee
- ▶ Semi-Correct Answer : 33/74, 44.6%
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- - Az Osp Santa Maria , Italy angelo carloni
- - hospital Sao Paulo , Brazil israel missrie
- - Shiga University of Medical Science , Japan Norihisa Nitta
- - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
- - Shinsegye Rad Clinic, Daegu, Korea , Korea (South) Gi Beom Kim
- - seoul national university hospital , Korea (South) Ijin Joo
- - All India Institute of medical sciences , India Justin Moses
- - MEDINOVA DIAGNOSTICS , India Harsha NS
- - Lilavati Hospital & Research Centre , India Mahavir Swami
- - Vitalife Clinics , Pune , India. , India rahul deshmukh
- - CHRU lille , France manuel toledano
- - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
- - Hospital Universitario La Candelaria , Spain Ad Bz
- - Osaka University , Japan Osamu Honda
- - Kashan University of Medical Sciences, kashan, Iran , Iran Ebrahim Razi
- - Saga University, Japan , Japan Ryoko Egashira
- - Clinic 1 , Russian Federation Lepikhina Darya
- - Almana.G.Hospital , Saudi Arabia Jamal Abazid
- - JungAng Radiology Clinic , Korea (South) CHANGHO LEE
- - liberal , France jerome hannequin
- - Ruby Hall Clinic , India Aniruddha Joshi
- - Hospital universitario Nuestra Sera De La Candelaria , Spain Luisa Elena Delgado
- - vital imaging centre , India ganesh agrawal
- - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
- - Mokpo HanKook Hospital , Korea (South) Sang Uk Park
- - christie hospital , United Kingdom rohit kochhar
- - Dongguk University International Hospital , Korea (South) Hee Seok Choi
- - Pe d , France Fabrice Bing
- - National Taiwan University Hospital , Taiwan Nin Chieh Hsu
- - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
- - All India Institute of Medical Sciences , India Ashish Gupta
- - oswal cancer hospital , India lovkesh mittal
- - MAX HEALTH CARE , India vickrant malhotra
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