NADİR BİR AKCİĞER TÜMÖRÜ: SKLEROZAN HEMANJİOM

Genellikle preoperatif olarak malign veya benign ayrımı net yapılamayan ve genellikle rastlantısal olarak saptanan akciğerin sklerozan hemanjiomu; kadınlarda ve 30 ile 50 yaşlar arasında daha sık görülen ve soliter pulmoner nodül şeklinde ortaya çıkan, sıklıkla benign nitelikli nadir bir tümördür. Altmış yaşında kadın hasta öksürük, bulantı, kusma şikayetleri ile hastanemize başvurdu. Hastanın çekilen toraks bilgisayarlı tomografisinde (TBT) sol akciğer orta zonda 3 cm.'lik kitle lezyonu saptandı. Yapılan bronkoskopide sol üst lob anterior segmentte dıştan bası bulguları izlendi. Lezyon sol üst lobektomi ile çıkartıldı. Histopatolojik inceleme sonucu sklerozan hemanjiom olarak rapor edildi. Hasta takibinin ikinci yılında olup, sorun veya nüks izlenmedi.

Anahtar Kelimeler:

Sklerozan hemanjiom, akciğer

A RARE LUNG TUMOR: SCLEROSING HEMANGIOMA OF THE LUNG

Clinically, there was no dicrimination preoperatively between malign and benign tumors. İn literature; lung sclerozan hemangioma determined incidentally in women at 30-50 years old , in the form of a solitary pulmonary nodule. It is rare and usually a benign tumor. A 60 years old female patient applied with cough, sickness and vomitting. There was a 3 cm. mass in the left middle zone on Thoracal CT. External occlusion findings seen on anterior segment bronchus of upper lobe in bronchoscopy. Bronchoscopic biopsy results were benign. Left upper lobectomy was performed. Histopathologically it was reported as sclerosing hemangioma. The patient is on the second year of the follow up and there was no problem or recurrence.

Keywords:

Sclerosing hemangioma, pulmonary,

PDF

___

1. Shields TW, Stirling MC. Benign tumors of the lung. In: Shields TW, ed.General Thoracic Surgery. Williams & Wilkins, New York, 1994: 1307-19.
2. Mitsudomi T, Kaneko S, Tateishi M, Yano T, Ishida T,Sugimachi K. Benign tumors and tumor-like lesions of the lung. Int Surg 1990; 75: 155-8.
3. Murat Acar, Mustafa Özateş, Faysal Ekici, Masum Şimşek. Akciğer hamartomu. Tanısal ve Girişimsel Radyoloji (2001) 7: Tanısal ve Girişimsel Radyoloji-373-75
4. Sugio K.,Yokoyama H., Kaneko S. Sclerosing hemangioma of the lung.radiographic and pathological study. Ann Thorac Surg. 1992.53:295-300
5. Vaideeswar P. Indian J Pathol Microbiol. Indian J Pathol Microbiol. Sclerosing hemangioma with lymph nodal metastases. 2009 JulSep;52(3):392-4.
6. Bougrine F, Chouchane O, Doghri R, Znaidi N, Hchicha S, Sakhri A, Laabidi B, Cheikh R, Chnik S, Bouziani A.Sclerosing hemangioma of the lung: a rare lesion with a difficult diagnosis. Rev Pneumol Clin. 2006 Dec;62(6 Pt 1):390-4.
7. Orv Hetil. Sclerosing hemangioma of the lung. Orosz Z, Udvarhelyi N, Riedl E, Rahóty P. 1994 Jan 16;135(3):133-6
8. Gao BL, Hu JA, Wan HY, Chen ZY, Wu HC. Zhonghua Jie He He Hu Xi Za Zhi. Pulmonary sclerosing hemangioma: report of 15 cases and review of the literature. 2006 Mar;29(3):164-6
9. Situ DR, Long H, Ma GW, Lin ZC, Yun JP, Rong TH.Diagnosis and therapeutics of 24 cases of pulmonary sclerosing hemangioma. Ai Zheng. 2008 Aug;27(8):861-5.
10. Miyagawa-Hayashino A, Tazelaar HD, Langel DJ, Colby TV. Pulmonary sclerosing hemangioma with lymph node metastases: report of 4 cases. Arch Pathol Lab Med 2003; 127: 321-325.
11. Wick MR, Mills SE. Benign and borderline tumors of the lungs and pleura. In: Leslie KO, Wick MR, eds. Practical Pulmonary Pathology:A Diagnostic Approach, Philadelphia, Churchill Livingstone, 2005; pp.673-732.
12. Yalçınkaya İ. Akciğerin nadir görülen benign tümörü;Pnömositoma. Van Tıp Dergisi 1995;2; 1,60-62.
13. Miller JI, Hatcher CR. Benign tumors of the lower respiratory tract. In: Baue AA, ed. Glenn’s Thoracic and Cardiovascular Surgery. Appleton & Lange, New York, 1991: 301-12.
14. Haas, J. E., Yunis, E. J., and Totten, R. S. (1972). Ultrastructure of a sclerosing hemangioma of the lung. Cancer (Philad.), 30,512-518.
15. Yoo SH, Jung KC, Kim JH, Sung SW, Chung JH, et al. Expressionpatterns of markers for type II pneumocytes in pulmonary sclerosing hemangiomas and fetal lung tissues. Arch Pathol Lab Med 2005; 129:915-919