A clinical anaylsis on 8 cases of pulmonary sclerosing hemangioma.

Chang, Jung Hyun; Kim, Se Kyu; Kim, Hyung Jung; Kwon, Seon Ok; Chung, Kyung Young; Shin, Dong Hwan; Lee, Doo Yun; Ahn, Chul Min; Kim, Sung Kyu; Lee, Won Young

doi:1993.40.4.384

Tuberc Respir Dis > Volume 40(4); 1993 > Article

Original Article

Tuberculosis and Respiratory Diseases 1993;40(4):384-389.
DOI: https://doi.org/10.4046/trd.1993.40.4.385 Published online August 1, 1993.

A clinical anaylsis on 8 cases of pulmonary sclerosing hemangioma.

Jung Hyun Chang¹, Se Kyu Kim¹, Hyung Jung Kim¹, Seon Ok Kwon¹, Kyung Young Chung², Dong Hwan Shin³, Doo Yun Lee², Chul Min Ahn¹, Sung Kyu Kim¹, Won Young Lee¹

¹Department of Internal Medicine and The Institute of Chest Diseases, Yonsei University college of Medicine, Seoul, Korea
²Department of Thoracic and Cardiovascular Surgery, Yonsei University college of Medicine, Seoul, Korea
³Department of Pathology, Yonsei University college of Medicine, Seoul, Korea

Abstract

Background
Pulmonary sclerosing hemangioma is rare, but still the second most common benign lung tumor, occurring mostly in middle.aged women.
Methods
From January 1985 through April 1993, we experienced eight cases of solitary pulmonary sclerosing hemangioma.
Results
Subjects studied were 7 female and 1 male patients. They ranged from 14 to 63 years of age(mean age, 43 .8 years) at the time of operation. The patients were frequently asymptomatic and the tumor was often shown to be a large lobulated mass on radiographic examination. The tumor can usually be diagnosed on operation because of its subtle clinical and radiographic presentation. All eight cases were diagnosed intraoperatively. The mean interval between initial radiographic detection and operation was 7.9 months. Out of 8 cases, preoperative impression of benign tumor was made in 4 cases, whereas malignant tumor was suspected in the remaining 4 cases. Enucleation, wedge resection or lobectomy was performed which appropriate in each patient.
Conclusion
Surgical removal of the tumor preserving as much lung parenchyma as possible is indicated for proper diagnosis and treatment of this condition

Key Words: Sclerosing hemangioma, Lung