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Weekly Chest CasesArchive of Old Cases

Case No : 1073 Date 2018-05-21

  • Courtesy of Sung Ho Hwang, Yu-Whan Oh / Department of Radiology, Korea University Anam Hospital, Seoul, Republic of Korea
  • Age/Sex 57 / F
  • Chief ComplaintA 57-year-old female visited our institute to manage right breast cancer.
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Pulmonary Chondroid Harmatoma
Radiologic Findings
Pulmonary chondroid hamartoma, as a subtype of pulmonary harmatoma, is defined when chondroid tissue predominates in the composition of the tumor. Harmatoma is the most common benign tumor of the lung, which accounts for 8% of pulmonary neoplasms. Most patients with pulmonary hamartoma are asymptomic, whereas some patients may have respiratory symptoms such as hemoptysis, cough, or chest pain. Solitary pulmonary hamartoma is a common benign tumor that is usually seen in males, whereas multiple pulmonary hamartomas are rare and predominate in females. On radiology, a rounded shadow with well-defined margins and surrounded by normal looking lung parenchyma, with occasional foci of calcification. The typical 'popcorn' calcification which strongly suggests the harmatoma is present in about 10-30% of chest radiographs. CT scans are more sensitive for detecting calcification and adipose tissue but they may not be able to demonstrate the salient features each time and it may be difficult to distinguish benign from malignant lesions.
Brief Review
References
1 Ribet M, Jaillard-Thery S, Nuttens MC (1994) Pulmonary hamartoma and malignancy. J Thorac Cardiovasc Surg 107:611-614.
2 De Cicco C, Bellomi M, Bartolomei M et al (2008) Imaging of lung hamartomas by multidetector computed tomography and positron emission tomography. Ann Thorac Surg 86:1769-177.
Keywords
Lung, Benign neoplasm,

No. of Applicants : 87

▶ Correct Answer : 30/87,  34.5%
  • - The University of Kyoto Hospital , Japan TOMOAKI OTANI
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - Higashi-Ohmi General Medical Center , Japan AKITOSHI INOUE
  • - Chungbuk National University Hospital , Korea (South) YEONGTAE PARK
  • - King Abdulaziz University Hospital , Saudi Arabia Amr M. Ajlan
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Other , Korea (South) SEONGSU KANG
  • - Chungbuk National University Hospital , Korea (South) CHANGHOON OH
  • - 罹…stanbul , Turkey AYHAN YILMAZ
  • - Azienda Ospedaliera Universitaria Integrata di Verona , Italy GIAN ALBERTO SOARDI
  • - Fujieda Municipal General Hospital , Japan HAYATO NOZAWA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - HHS , Canada S LEE
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Intermed Hospital , Mongolia KHULAN KHURELSUKH
  • - NTUH , Taiwan KUEI-PIN CHUNG
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey MERIC TUZUN
  • - , Japan NAOMI YUASA
  • - Azienda Ospedaliera di Cremona , Italy Pietro Sergio
  • - , Korea (South) JANG SEONG WON
  • - Wuhan Union Hospital , China QIGUANG CHENG
  • - TB centre kasaragod. , India rikhy krishnan
  • - Korea University Guro Hospital , Korea (South) KYU-CHONG LEE
  • - Teikyo University Hospital , Japan KAORU SUMIDA
  • - Kyoto Prefectural University of Medicine , Japan TADASHI TANAKA
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - Hamamatsu university school of medicine , Japan YUKI HAYASHI
  • - Al Buraimi Medical Center , Oman WESAM ADEL NASSER
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Correct Answer as Differential Diagnosis : 19/87,  21.8%
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - The University of Tokyo Hospital , Japan Akifumi Hagiwara
  • - Chonbuk National University Hospital , Korea (South) MINGI SHIN
  • - , Korea (South) PAE SUN SUH
  • - Soonchunhyang University College of Medicine , Korea (South) GOUN CHOI
  • - Kyungpook national university hospital , Korea (South) Nari Jung
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - The University of Tokyo Hospital , Japan RYO KUROKAWA
  • - Medicheck health care , Korea (South) Chae hun Lim
  • - Ajou University Hospital , Korea (South) DAYOUNG KIM
  • - Mallinckrodt Institute of Radiology , United States Naganathan BS Mani
  • - Avrasya Hospital/ISTANBUL , Turkey MURAT ULUSOY
  • - eskisehir devlet hastanesi , Turkey MURAT SAHIN
  • - Chungbuk national university hospital , Korea (South) Miran Yeon Yeon
  • - The University of Tokyo Hospital , Japan TAKU TAJIMA
  • - MBAL BURGAS , Bulgaria VLADISLAV BOYANOV RUSINOV
  • - Kizawa Memorial Hospital , Japan Shoji Okuda
  • - , Japan YUMI MAEHARA
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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