CASE REPORT: RARE CASE OF PNEUMOCYTOMA

Le Van Giao1,, Thieu Dinh Hung1
1 Khoa Ung bướu, Bệnh viện Trung ương 71

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Tóm tắt

Pulmonary sclerosing (Pneumocytoma) is a rare benign pulmonary tumor of primitive epithelial origin. Because of the unspecific radiological features mimicking malignancies and their histological heterogeneity, the differential diagnosis with adenocarcinoma and carcinoid tumors is still challenging. We report a case of sclerosing pneumocytoma, as well as a review of the literature. Immunohistochemical findings showed intense staining of the cuboidal epithelial cells for cytokeratin-pool and TTF-1, with focal positivity for progesterone receptors. Round and spindle cells expressed positivity for vimentin, TTF-1, and focally for the progesterone receptor. Since the pre- and intraoperative diagnosis should guide surgical decision-making, obtaining a sufficient specimen size to find representative material in the cell block is of paramount importance. This overview highlights what physicians need to know regarding clinical manifestations, radiological and histological features as well as recent advances in immunohistochemistry in the diagnosis of this disease.

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Tài liệu tham khảo

1. Liebow, A.A.; Hubbell, D.S. Sclerosing hemangioma (histiocytoma, xanthoma) of the lung. Cancer 1956, 9, 53–75.
2. Ekinci, G.H.; Hacıömeroğlu, O.; Ersev, A.; Alpay, L.; Şen, A.; Güney, P.A.; Yılmaz, A. Pulmonary Sclerosing Hemangioma (Pneumocytoma): An Analysis of 8 Cases. Eurasian J. Pulmonol. 2015, 17, 159–162.
3. WHO Classification of Tumours Editorial Board. WHO classification of tumors. 5th. In: Thoracic Tumours. Lyon: IARC Press; 2021.
4. Travis, W.D.; Brambilla, E.; Nicholson, A.G.; Yatabe, Y.; Austin, J.H.M.; Beasley, M.B.; Chirieac, L.R.; Dacic, S.; Duhig, E.; Flieder, D.B.; et al. The 2015 World Health Organization Classification of Lung Tumors: Impact of Genetic, Clinical and Radiologic Advances since the 2004 Classification. J. Thorac. Oncol. 2015, 10, 1243–1260.
5. He, C.; Fang, H.; Liu, Y.; Huang, X.; Zhen, W.; Ren, L. Pulmonary sclerosing hemangioma: Report of two cases. World J. Surg. Oncol. 2019, 10, 182. 6. Baysak, A.; Oz, A.T.; Moğulkoç, N.; Bishop, P.W.; Ceylan, K.C. A rare tumor of the lung: Pulmonary sclerosing hemangioma (pneumocytoma). Respir. Med. 2019, 107, 448–450.
7. Chen, B.; Gao, J.; Chen, H.; Cao, Y.; He, X.; Zhang, W.; Luo, M.; Zhang, S.; Li, W. Pulmonary sclerosing hemangioma: A unique epithelial neoplasm of the lung (report of 26 cases). World J. Surg. Oncol. 2013, 11, 85.
8. Yang, L.; Duan, Y.; Ruan, J.-Z.; Yang, Z.; Wang, Z.-T. Treatment of 28 patients with sclerosing hemangioma (SH) of the lung. J. Cardiothorac. Surg. 2012, 7, 9–12.
9. Devouassoux-Shisheboran, M.; Hayashi, T.; Linnoila, R.I.; Koss, M.N.; Travis, W.D. A clinicopathologic study of 100 cases of pulmonary sclerosing hemangioma with immunohistochemical studies: TTF-1 is expressed in both round and surface cells, suggesting an origin from primitive respiratory epithelium. Am. J. Surg. Pathol. 2021, 24, 906–916.
10. Tanaka, I.; Inoue, M.; Matsui, Y.; Oritsu, S.; Akiyama, O.; Takemura, T.; Fujiwara, M.; Kodama, T.; Shimosato, Y. A case of pneumocytoma (so-called sclerosing hemangioma) with lymph node metastasis. Jpn. J. Clin. Oncol. 1986, 16, 77–86.
11. Adachi, Y.; Tsuta, K.; Hirano, R.; Tanaka, J.; Minamino, K.; Shimo, T.; Ikehara, S. Pulmonary sclerosing hemangioma with lymph node metastasis: A case report and literature review. Oncol. Lett. 2014, 2, 997–1000.
12. Shibata R, Mukai M, Okada Y, et al. A case of sclerosing hemangioma of the lung presenting as a gigantic tumor occupying the left thoracic cavity. Virchows Arch. 2003;442:409–411. doi: 10.1007/s00428-003-0777-3.