2016 Volume 30 Issue 1 Pages 57-63
We report on a rare case of pulmonary sclerosing hemangioma with lymph node metastases. A 38-year-old male was referred to another hospital because of an abnormal chest shadow that was detected during a routine health check-up in 2010 and 2014. Chest computed tomography revealed a 2.6 × 2.0 × 3.5-cm tumor in the left upper lobe. Transbronchial biopsy and percutaneous needle biopsy guided by computed tomography were performed, revealing that the tumor was not malignant. Subsequently, the patient was referred to our hospital. Enucleation of the tumor was performed to determine a diagnosis. Adenocarcinoma of the lung was diagnosed intraoperatively, and we performed a left upper lobectomy and lymph node dissection. Based on the results of the pathological examination, pulmonary sclerosing hemangioma with lymph node metastases was diagnosed postoperatively. Although pulmonary sclerosing hemangioma with lymph node metastases is rare, we consider that it is necessary to examine the regional lymph nodes during surgery and continually monitor the patient's condition for metastasis to the lymph nodes.
