Cavernous hemangioma of the lung

Lovrenski, Aleksandra; Panjković, Milana; Eri, Živka; Klem, Istvan; Samardzija, Golub; Milic, Miljan

doi:10.2298/mpns1106327l

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…Patients might be asymptomatic, and pulmonary lesions are usually found incidentally during a routine physical examination, or patients present with symptoms such as cough, expectoration, hemoptysis, chest discomfort, chest pain, sudden respiratory distress, and intrathoracic bleeding. The clinical manifestations are correlated with the location, size, number, and whether vascular degeneration has occurred within the cavernous haemangiomas ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Multiple pulmonary cavernous haemangiomas with concurrent primary pulmonary adenocarcinoma: a case report and literature review

Wang,

Ren,

You

et al. 2024

Front. Oncol.

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BackgroundCavernous haemangiomas (CHs) commonly occurred in the skin, subcutaneous tissue, muscles, and liver. Pulmonary cavernous haemangiomas (PCHs) are quite rare and usually present with nonspecific clinical symptoms. When lung cancer patients are complicated with pulmonary cavernous haemangiomas, radiologically, these haemangioma lesions can be easily misinterpreted as intrapulmonary metastases, potentially resulting in misdiagnosis, or missed diagnosis.Case presentationThe present study reported the case of a 53−year−old female patient with pulmonary adenocarcinoma coexisting with multiple PCHs. 18F−FDG-Positron emission tomography-computed tomography (PET-CT) showed an elevated glucose metabolism in the apicoposterior segment of the left upper lobe; however, the other nodules were not hypermetabolic. Percutaneous lung biopsy was performed on the nodule in the apicoposterior segment of the left upper lobe, which were diagnosed as primary adenocarcinoma. Some nodules in the upper left lobe underwent wedge resection by video-assisted thoracic surgery (VATS) and intraoperative frozen section identified as PCHs. Finally, the patient underwent lobectomy of the left upper lobe via VATS, cancerous nodule in the apicoposterior segment of the left upper lobe underwent genetic molecular testing of PCR−Sanger sequencing, suggested EGFR mutation, and patient received treatment with Osimertinib. During the 4−months follow−up, contrast−enhanced CT showed no recurrence of either disease. PCHs are rare benign tumours of the lung, which can lead to misdiagnosis due to their non-specific clinical symptoms and radiological features, especially when they coexist with lung cancer. PCHs is easily misunderstood as metastatic lung cancer, in this case, PET-CT can assist in differentiating benign from malignant. For the cases of early lung cancer complicated with PCHs, lung cancer can be surgically resected, and whether PCHs should be removed or not should be determined according to the size and distribution of the lesions.

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Section: Discussionmentioning

confidence: 99%

Multiple pulmonary cavernous haemangiomas with concurrent primary pulmonary adenocarcinoma: a case report and literature review

Wang,

Ren,

You

et al. 2024

Front. Oncol.

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“…Although tumor tissue invasion into the existing pulmonary cysts or large bulla structures has been proposed in the literature, this theory cannot be widely accepted, since lesions have not been found in the common sites of bullae, and this type of balloon-containing lumen has not been previously observed (13). Some researchers believe that the soft and fragile nature of tumor tissue leads to the elastic retraction of the peripheral lung tissue and aggravates the valve mechanism (14,15). Microscopic analyses have indicated tumor infiltration along the walls of the bronchioles and cyst, but not the liquefied necrotic tissue.…”

Section: Figurementioning

confidence: 99%

The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

2021

Iran J Radiol

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Background: Lung cancer is the leading cause of cancer-related mortality worldwide. Thin-walled cystic lung cancer with ground glas s opacity (GGO) is a type of lung carcinoma with specific computed tomography (CT) features. Objectives: To investigate the imaging features of multi-slice spiral computed tomography (MSCT) of GGO and to improve the imaging diagnosis of this type of lung cancer. Patients and Methods: The clinical data of 24 patients with pathologically confirmed thin-walled cystic lung cancer with GGO were retrospectively analyzed in this study. The imaging features of preoperative MSCT, including vascular convergence, burr signs, pleural depression signs, lobulation signs, thickness and uniformity of the cavity wall, partitive membranes, and position of the ground-glass cavity, were examined. The relationship between the imaging features and postoperative pathological findings of lung carcinoma were also explored. Results: Most of the lesions (75.0%) were located in the upper lobe of the lungs. The size range of the cavity was 5.8 - 28.1 mm, with a mean of 13.6 ± 7.2 mm. Fifteen patients (62.5%) had a cavity wall thickness < 2 mm, 6 (25.0%) patients had a cavity wall thickness in the range of 2 - 3 mm, and 3 (12.5%) patients had a cavity wall thickness of about 3 - 4 mm. A uniform cavity wall was found in 10 (41.7%) cases, while a non-uniform cavity wall was observed in 14 (58.3%) cases. Eleven patients showed pure GGO (45.8%), while 13 patients showed mixed GGO (54.2%). Besides, nine patients (37.5%) showed lobular signs, 12 (50.0%) patients showed spicule signs, and 6 (28.6%) patients showed vascular convergence signs. Twelve patients (50.0%) had signs of pleural indentation, while 14 (66.7%) patients showed thick or thin small blood vessel opacity or fine partitive membranes. Twenty-three patients were diagnosed with lung adenocarcinoma, while one patients was diagnosed with mixed adenosquamous carcinoma. Conclusion: Thin-walled cystic lung cancer with GGO is a rare clinical phenomenon. The imaging features of this type of lung cancer on MSCT are consistent with the characteristics of lung cancers.

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“…Pojedinačni faktori koji povećavaju rizik od pojave recidiva jesu starost, fibroza pluća, emfizem [10]. Traumatski pneumotoraks veoma je čest kod teške traume [11], neke studije saopštavaju prevalenciju pneumotoraksa veću od 20% kod pacijenata s teškom traumom [12], i čak 50% kod pacijenata s povredom grudnog koša [13]. Vodeća strukovna udruženja donela su brojne vodiče i preporuke za lečenje pneumotoraksa, ali je njihova klinička upotreba često insuficijentna [14].…”

Section: Uvodunclassified

Analysis of incidence and treatment of pneumothorax in five-year period in Kragujevac

2012

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Cavernous hemangioma of the lung

Abstract: In spite of its benign behaviour and mostly asymptomatic clinical course it is necessary to consider cavernous hemangioma in the differential diagnosis of other pulmonary lesions. The definitive diagnosis can be made only by histopathological and immunohistochemical examination.

Cited by 8 publications

References 5 publications

Multiple pulmonary cavernous haemangiomas with concurrent primary pulmonary adenocarcinoma: a case report and literature review

Multiple pulmonary cavernous haemangiomas with concurrent primary pulmonary adenocarcinoma: a case report and literature review

The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

Analysis of incidence and treatment of pneumothorax in five-year period in Kragujevac

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