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Ann Thorac Surg 2009;87:956-957. doi:10.1016/j.athoracsur.2008.07.078
© 2009 The Society of Thoracic Surgeons
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Case Reports

A Small Alveolar Adenoma Resected by Thoracoscopic Surgery

Hiroshige Nakamura, MD*, Yoshin Adachi, MD, Takayuki Arai, MD, Ken Miwa, MD, Tomohiro Haruki, MD, Shinji Fujioka, MD, Yuji Taniguchi, MD

Division of General Thoracic Surgery, Center for Clinical Residency Program, Tottori University Hospital, Yonago, Japan

Accepted for publication July 25, 2008.

* Address correspondence to Dr Nakamura, Division of General Thoracic Surgery, Tottori University Hospital, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan (Email: hnaka{at}med.tottori-u.ac.jp).

Alveolar adenoma (AA) is a rare lung benign tumor originated from type II pneumocytes. It presents as a well-defined nodule in clinical images, but is difficult to differentiate from early-stage lung cancer. We treated a 58-year-old woman with a small-sized AA measuring 8 x 6 mm in the upper lobe of the left lung by performing a thoracoscopic resection. The AA does not cause any symptoms and it is often incidentally detected as an abnormal shadow. There have been no reported cases of recurrence after a resection of AA, but a subsequent increase in such cases is expected, and we believe that it is necessary to understand the characteristics of this typical benign lung tumor.






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