Kitagawa Hiroshi, Goto Akiteru, Minami Manabu, Nakajima Jun, Niki Toshiro, Fukayama Masashi
Department of Internal Medicine, Kanto-Chuo Hospital, Tokyo, Japan.
Jpn J Clin Oncol. 2003 Jul;33(7):360-3. doi: 10.1093/jjco/hyg067.
A case of cystic sclerosing hemangioma of the lung is reported. A chest X-ray of a 55-year-old woman who had been suffering from a cough with sputum for several months revealed an abnormal nodular shadow. A chest CT scan revealed a solitary tumor with cystic appearance occupying S7 of the right lung and the inferior pulmonary ligament. Radiological differential diagnosis for the lesion included bronchogenic cyst, cystic Schwannoma, pulmonary necrotic carcinoid, and lung carcinoma. Right lower lobectomy was carried out and the lesion was pathologically diagnosed as sclerosing hemangioma of the lung with cystic features, expanding into the pulmonary ligament. Differential diagnosis of the cystic lesion of the lung should include cystic sclerosing hemangioma as observed in this case.
报告一例肺囊性硬化性血管瘤。一名55岁女性，咳嗽伴咳痰数月，胸部X线检查发现异常结节影。胸部CT扫描显示右肺S7及肺下韧带处有一个呈囊性外观的孤立性肿瘤。该病变的放射学鉴别诊断包括支气管囊肿、囊性神经鞘瘤、肺坏死性类癌和肺癌。实施了右下肺叶切除术，病理诊断为具有囊性特征的肺硬化性血管瘤，并累及肺韧带。肺部囊性病变的鉴别诊断应包括本例中观察到的囊性硬化性血管瘤。
