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Eur J Cardiothorac Surg 2002;22:1006
© 2002 Elsevier Science NL


Images in cardio-thoracic surgery

Giant pulmonary hamartoma

Seock Yeol Lee*, Hyung Joo Park, Cheol Sae Lee, Kihl Rho Lee

Department of Thoracic & Cardiovascular Surgery, Soonchunhyang University Chunan Hospital, 23 Bongmyung-dong, Chungcheongnam-do, Chunan-city, South Korea

Received 15 July 2002; received in revised form 2 September 2002; accepted 4 September 2002.

* Corresponding author. Tel.: +82-41-570-2193; fax: +82-41-575-9674
e-mail: csdoctor{at}korea.com

Key Words: Hamartoma • Lung • Wedge resection

A 30-year-old man was admitted to our hospital because he wished us to remove the pulmonary mass that was incidentally detected on healthy examination. The patient was free of symptoms and in good general condition. Radiologic findings showed a giant intrapulmonary mass lesion in the lower lobe of the right lung (Fig. 1) . Open thoracotomy and wedge resection including mass were performed. The gross appearance of the resected specimen showed a 16x9-cm yellow-gray encapsulated, ovoid mass with homogeneous cartilage containing multiple crypts (Fig. 2) . Histopathologic pathological findings were consistent with a diagnosis of hamartoma, and no sign of malignancy was observed. The patient recovered well and was discharged on the tenth postoperative day. At 8-month follow-up, He was in a healthy state with no signs of recurrence.



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Fig. 1. Chest pulmonary angiogram and chest computed tomogram showing intrapulmonary mass.

 


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Fig. 2. Gross appearance of the resected specimen, showing a yellow-gray encapsulated ovoid mass with homogeneous cartilage containing multiple crypts.

 




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