Sclerosing hemangioma of the lung with mediastinal lymph node metastasis mimicking lung cancer; surgical aspect: a case report

Abdullah Erdoğan; Hasan Başer; Gülay Özbilim; Abit Demircan

doi:10.5606/tgkdc.dergisi.2014.7386

Abdullah Erdoğan¹, Hasan Başer¹, Gülay Özbilim², Abit Demircan¹

¹Departments of Thoracic Surgery, Medical Faculty of Akdeniz University, Antalya, Turkey
²Departments of Pathology, Medical Faculty of Akdeniz University, Antalya, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.7386

Sclerosing hemangiomas of the lung are very rare tumors and they are often considered benign. In this article, we report a case of sclerosing hemangiomas of the lung in a 32-year-old female case. She was admitted with complaints of progressive cough and thoracic pain for the past three months. Thoracic computed tomography showed a large tumor, approximately 9x10x10 cm in diameter involving the upper and lower lobes in the left sided parahilar region of the left lung. Left thoracotomy was performed and the tumor was seemed as lung cancer in surgical exploration. The mass was removed by left pneumonectomy, followed by systematic mediastinal lymph node dissection. The histopathological examination was reported as a sclerosing hemangioma of the lung. There was metastatic involvement in one station (aortic window, no: 5) of the lymph node. Anatomic resection with systematic mediastinal lymphadenectomy should be considered in such cases to avoid possible recurrences or metastasis.

Keywords : Metastasis; sclerosing hemangioma; surgery

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