Diagnosis of multiple pulmonary cavernous hemangiomas via dual-layer spectral CT A case reportopen access
- Bae, Kyungsoo; An, Hyo Jung; Jung, Jae Jun; Kim, Ho Cheol; Jeon, Kyung Nyeo
- Issue Date
- LIPPINCOTT WILLIAMS & WILKINS
- cavernous hemangioma; computed tomography; dual-energy spectral CT; lung; vascular tissue neoplasm
- MEDICINE, v.99, no.39
- Journal Title
- Rationale: Cavernous hemangioma is a benign vascular tumor, which very rarely occurs in the lung. When appearing as multiple nodules on chest CT, this tumor can be misdiagnosed as metastatic malignancy. Patient concerns: A 72-year-old woman presented with incidentally found multiple lung nodules on chest radiograph. Diagnoses: Based on information derived from dual-layer spectral CT images, the possibility of slow flow vascular tumor such as cavernous hemangioma was suggested. A pathologic diagnosis of pulmonary cavernous hemangioma was made via video-assisted thoracoscopic biopsy. Interventions: After tissue confirmation, the patient was discharged without further intervention. Outcomes: The patient recovered without any event. Follow-up chest CT performed 6 months later showed no significant interval change in nodule size and distribution. Lessons: Material decomposition images obtained from dual energy CT can help physicians understand the character of tumor vascularity for an accurate diagnosis of pulmonary cavernous hemangioma.
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- College of Medicine > Department of Medicine > Journal Articles
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