Pneumocytoma (sclerosing hemangioma), a potential pitfall

Erika Hissong, Rema Rao

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Pneumocytoma is an uncommon benign tumor of the lung, derived from primitive respiratory epithelium, with a predilection for middle-aged females. A single, well-circumscribed mass is commonly identified on imaging, necessitating pathologic evaluation for further assessment. Fine-needle aspiration cytology is a minimally invasive and cost-effective method that can be utilized in the diagnosis of these lesions. Yet, distinction of pneumocytoma from other entities such as well-differentiated adenocarcinoma or carcinoid tumor can be quite challenging. Herein, we describe a case initially misdiagnosed as lung adenocarcinoma on FNA that was proven to be pneumocytoma on subsequent resection. This report highlights the importance of recognizing key cytologic features of pneumocytoma, namely the papillary architecture, dual cell population, and the hemorrhagic background with foamy macrophages, among others. An accurate preoperative diagnosis of this entity provides optimal patient management, as conservative surgical excision is curative. Diagn. Cytopathol. 2017;45:744–749.

Original languageEnglish (US)
Pages (from-to)744-749
Number of pages6
JournalDiagnostic Cytopathology
Volume45
Issue number8
DOIs
StatePublished - Aug 2017
Externally publishedYes

Keywords

  • fine-needle aspiration cytology
  • sclerosing hemangioma of lung
  • sclerosing pneumocytoma

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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