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Case Reports

Transdiaphragmatic Amyloidoma

^a Department of Thoracic Surgery, St. Luke's-Roosevelt Hospital Center, New York, New York
^b Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York
^c Division of Thoracic Surgery, Hackensack University Medical Center, Hackensack, New Jersey

Accepted for publication October 2, 2007.

^_* Address correspondence to Dr Connery, Thoracic Surgery Division, St. Luke's—Roosevelt Hospital Center, 1000 10th Avenue, Suite 2B-07, New York, NY 10019 (Email: cconnery{at}chpnet.org).

The term "amyloidoma" has been used to describe localized pulmonary nodular amyloidosis when it is a solitary lesion. Amyloidoma is an uncommon and infrequently reported cause of benign pulmonary lesions. We report the case of a 45-year-old man with hemoptysis, eosinophilia, and a large mass involving both lobes of the left lung, the chest wall, and, via extension through the diaphragm, the liver. Clinical suspicion of ecchinococcal cyst led to treatment via en bloc excision rather than attempting tissue biopsy for diagnosis. Complete resection of the isolated pulmonary amyloidoma was achieved with no evidence of recurrence.