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Open Access Case Report

Multiple peripheral typical carcinoid tumors of the lung: associated with sclerosing hemangiomas

Young Kim1, Yoo-Duk Choi1*, Beum Jin Kim2, In-Jae Oh3, Sang-Yun Song4, Jong-Hee Nam15 and Chang-Soo Park1

Author Affiliations

1 Department of Pathology, Chonnam National University Medical School, 5 Hak-dong, Dong-gu, 501-746 Gwangju, Republic of Korea

2 Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, Australia

3 Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea

4 Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School, Gwangju, Republic of Korea

5 Brain Korea 21 project, Center for Biomedical Human Resources at Chonnam National University, Gwangju, Republic of Korea

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Diagnostic Pathology 2013, 8:97  doi:10.1186/1746-1596-8-97

Published: 17 June 2013

Abstract

This study presents a first case of multiple peripheral typical carcinoid tumors associated with sclerosing hemangiomas in the lung. A 52-year-old male presented with incidentally detected multiple pulmonary nodules on a simple chest X-ray during routine health check-up. A computed tomography (CT) scan of the chest showed multiple nodular lesions in the middle and lower lobes of the right lung. These were initially suspected as inflammatory lesions due to miliary tuberculosis. However, possibility of malignancy could not be excluded and right lower lobe lobectomy was performed. Histopathologically, some nodules including two largest nodules were composed of small round to spindle shaped cells with fine chromatin pattern, whereas the rest of the sclerotic nodules were composed of two epithelial cell types- surface cells and round cells. The final diagnosis of this case was multiple peripheral typical carcinoid tumors associated with sclerosing hemangiomas of the lung. For past three years of post-surgery follow up period, no new lesions or changes in the right middle lobe have been identified.

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1511610609725790 webcite.

Keywords:
Carcinoid tumors; Sclerosing hemangiomas; Lung