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Ann Thorac Surg 2002;73:981-983
© 2002 The Society of Thoracic Surgeons


Case report

Sclerosing hemangioma with metastases to multiple nodal stations

Motoki Yano, MD*a, Yosuke Yamakawa, MDa, Masanobu Kiriyama, MDa, Masaki Hara, MDb, Takayuki Murase, MDc

a Departments of Surgery II, Nagoya City University School of Medicine, Nagoya, Japan
b Department of Radiology, Nagoya City University School of Medicine, Nagoya, Japan
c Department of Pathology II, Nagoya City University School of Medicine, Nagoya, Japan

Accepted for publication July 16, 2001.

* Address reprint requests to Dr Yano, 1 Kawasumi, Mizuho, Nagoya, 467-8601, Japan

We present a case of a large pulmonary sclerosing hemangioma with metastases to multiple lymph nodal stations and suspected contralateral pulmonary metastasis. Four cases (including the present) have been reported to have lymph node metastasis, and all had large tumors exceeding 3.5 cm in diameter. Accordingly, resection of sclerosing hemangioma is advisable while the tumor is small. Even in cases with a large sclerosing hemangioma, lymph node metastasis may be uncommon. However lymph node dissection may be necessary to detect lymph node metastasis in selected cases.




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