Abdelghaffar Mohamed, Mandeel Fatima, Rabea Zahraa, George Sara, Al Saeed Mahmood
Pulmonary Medicine, Salmaniya Medical Complex, Manama, BHR.
Internal Medicine, Salmaniya Medical Complex, Manama, BHR.
Cureus. 2021 Mar 20;13(3):e14008. doi: 10.7759/cureus.14008.
Pulmonary hamartomas are benign lung tumors. They are uncommon and represent a small percentage of all solitary lung lesions. Hamartomas are composed of an abnormal mixture of epithelial and mesenchymal elements. They are usually discovered incidentally as patients are asymptomatic in most cases. On the other hand, sclerosing pneumocytomas are rarely discovered and are one of the most uncommon benign lung tumors. Herein, we present the case of a 37-year-old female who presented with hemoptysis. A computed tomography scan of her thorax revealed a right-sided round lesion in the interlobar fissure with no additional findings. Surgical excision was performed, which demonstrated an uncommon and unique finding of a pulmonary hamartoma coexisting with a sclerosing pneumocytoma found on exploration. This highlights the importance of exploration during surgical procedures in order identify missed lesions on imaging.
肺错构瘤是良性肺肿瘤。它们并不常见,在所有孤立性肺病变中占比很小。错构瘤由上皮和间充质成分异常混合组成。大多数情况下,患者无症状,错构瘤通常是偶然发现的。另一方面,硬化性肺细胞瘤很少被发现,是最罕见的良性肺肿瘤之一。在此,我们报告一例37岁女性咯血病例。她的胸部计算机断层扫描显示叶间裂有一个右侧圆形病变,无其他异常。进行了手术切除,术中发现了一个罕见且独特的情况,即肺错构瘤与硬化性肺细胞瘤并存。这凸显了手术过程中探查的重要性,以便发现影像学上遗漏的病变。