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Ann Thorac Surg 2009;88:647-648. doi:10.1016/j.athoracsur.2008.12.058
© 2009 The Society of Thoracic Surgeons
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Takashi Iwata
Shigefumi Suehiro
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Case Reports

Primary Pulmonary Meningioma Presenting with Hemoptysis on Exertion

Nobuhiro Izumi, MD, Noritoshi Nishiyama, MD, Takashi Iwata, MD*, Koshi Nagano, MD, Takuma Tsukioka, MD, Shoji Hanada, MD, Shigefumi Suehiro, MD

Department of Thoracic Surgery, Osaka City University Hospital, Osaka, Japan

Accepted for publication December 15, 2008.

* Address correspondence to Dr Iwata, Department of Thoracic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan (Email: taiwata{at}med.osaka-cu.ac.jp).

An 18-year-old woman presented with hemoptysis during long-distant running. A chest computed tomographic scan revealed a well-demarcated, round-shaped, solitary mass (3.0 cm in diameter) in the left pulmonary hilum. The bleeding was getting more often and a left upper lobectomy was carried out to avoid critical airway bleeding. A solid proliferation of short spindle cells with a remarkable whorl pattern was demonstrated histologically. Immunohistochemical studies showed positive for vimentin and S-100, and focally positive for epithelial membrane antigen. Primary pulmonary meningioma was thus diagnosed. The patient is well without recurrent disease 15 months after surgery.






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