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Toru Bando
Seiki Hasegawa
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Ann Thorac Surg 2005;80:2351-2353
© 2005 The Society of Thoracic Surgeons

Case report

Pulmonary Sclerosing Hemangioma With Metastasis to the Mediastinal Lymph Node

Hiromichi Katakura, MD, Manami Sato, MD, Fumihiro Tanaka, MD, Hiroaki Sakai, MD, Toru Bando, MD, Seiki Hasegawa, MD, Yasuaki Nakashima, MD, Hiromi Wada, MD *

Department of Thoracic Surgery, Kyoto University, Kyoto, Japan

Accepted for publication June 16, 2004.

* Address correspondence to Dr Wada, Department of Thoracic Surgery, Kyoto University, Sakyo-ku, Shogoin, Kawahara-cho, Kyoto 606–8507, Japan (Email: wadah{at}kuhp.kyoto-u.ac.jp).

During a routine health care evaluation, an abnormal shadow was detected in the chest roentgenogram of a 35-year-old man. Chest computed tomography scanning showed a nodule, approximately 3 cm in diameter, in the left S6 pulmonary segment with surrounding infiltration. Bronchoscopy revealed obstruction of the left B6c bronchus by a tumor, for which biopsy was done but no definitive histologic diagnosis could be made. Then, left lower lobectomy was performed, and the tumor was diagnosed as a pulmonary sclerosing hemangioma. A mediastinal lymph node (no. 7) showed some metastatic tumor cells. As lymph node metastasis from pulmonary sclerosing hemangioma is very rare, we herein report the details of our case.




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