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Year:
2013
| Volume: 21
| Issue: 3-4
| Pages: 133-135
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Case Report |
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SCLEROSING HEMANGIOMA OF THE LUNG
Dragana Tegeltija, Aleksandra Lovrenski, Miljan Milic, Miloš Koledin, Milana Panjkovic |
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DOI:
https://doi.org/10.2298/AOO1304133T |
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Abstract: |
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Sclerosing hemangioma of the lung is a rare benign tumor that can metastasize to regional lymph nodes. It is a
neoplasm that originates from type II pneumocytes and primitive respiratory epithelium. It is most common in middleaged
women in form of peripherally localized node. Tumor is composed of two types of cells, and there are papillary,
solid, sclerotic, and hemorrhagic histological pattern. Preoperative and intraoperative diagnosis of the tumor is difficult.
In a 53-old female patient, radiologically was discovered hyperdense nodule with smooth margins, which was
followed for two years, and then underwent enucleation of the tumor. The tumor was 25 mm in diameter and consisting
of round and cuboidal cells. Microscopically, it showed papillary and solid arrangement. Based on immunohistochemical
analysis, we made a diagnosis of sclerosing hemangioma of the lung. Three months after surgery, the patient was
in good health condition. Because of the numerous differential diagnostic dilemmas, diagnosis is almost always based
on permanent paraffin sections, using a wide range of immunohistochemical analysis. Type of surgery depends on the
tumor location, and in case of larger tumors, lymph node dissection needs to be done as well. |
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Key words:
Lung Neoplasms; Pulmonary Sclerosing Hemangioma; Immunohistochemistry |
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