Pulmonary hamartoma

Case contributed by Dr Domenico Nicoletti

Presentation

Incidental finding

Patient Data

Age: 68
Gender: Female
CT

Chest and abdomen tc without and with mdc 26 10 15

In the right lower lobe is appreciably rounded lesion, at regular margins, without calcifications with enhancement of modest entity.

In the abdomen there is a little adenoma in left adrenal gland.

Photo

Histological report after atypical lower right lobe resection

Case Discussion

A harmatoma probably derived from mesenchymal cells of the bronchial wall, characterised by the presence of various tissues within them, including adipose, cartilage, rarely bone and smooth muscle cells, and there are sometimes bronchial epithelial cells outbreaks. It often has polycyclic ring-shaped calcific areas in the peripheral regions and louder and irregular calcifications in the central region, and this particular gives the hamartoma that characteristic conformation to the standard chest x-ray that makes the so-called "pop corn" morphologically assumed.

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Case information

rID: 53867
Case created: 11th Jun 2017
Last edited: 16th Jun 2017
System: Chest
Inclusion in quiz mode: Included

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