Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Prolonged Air Leakage Caused by Mesenchymal Cystic Hamartoma of the Lung

  • Lee, Young Uk (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine) ;
  • Lee, Jang Hoon (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine) ;
  • Baek, Jong Hyun (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine)
  • Received : 2016.01.13
  • Accepted : 2016.03.23
  • Published : 2016.08.05
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Abstract

A 16-year-old girl was transferred to the department of thoracic and cardiovascular surgery because of a spontaneous pneumothorax with prolonged air leakage. Chest computed tomography demonstrated a cystic lesion measuring $2{\times}3cm$ and involving the left upper lobe. Left upper lobectomy was performed via video-assisted thoracoscopic surgery. A pathologic examination of the specimen revealed a mesenchymal cystic hamartoma. Despite the rarity of pulmonary mesenchymal cystic hamartoma, it should be considered a potential cause of pneumothorax for patients with a large pulmonary cyst. Further, surgical resection must be considered because serious complications such as hemothorax, hemoptysis, and malignant transformation have been reported.

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References

  1. Broaddus VC, Mason RJ, Ernst JD, et al. Murray and Nadel's textbook of respiratory medicine. 5th ed. Philadelphia (PA): Saunders/Elsevier; 2010.
  2. Mark EJ. Mesenchymal cystic hamartoma of the lung. N Engl J Med 1986;315:1255-9. https://doi.org/10.1056/NEJM198611133152004
  3. Sethi S, Cicenia J, Zaman T, Tietjen P. Mesenchymal cystic hamartoma of the lung. Chest J 2006;130(Meeting abstracts); 324S.
  4. Chida M, Minowa M, Eba S, Odajima H. Mesenchymal cystic hamartoma of the lung: a rare cause of pneumothorax. Gen Thorac Cardiovasc Surg 2009;57:166-8. https://doi.org/10.1007/s11748-008-0333-9
  5. Zhu H, Huang S, Zhou X. Mesenchymal cystic hamartoma of the lung. Ann Thorac Surg 2012;93:e145-7. https://doi.org/10.1016/j.athoracsur.2011.12.041
  6. Mogi A, Miyanaga T, Kosaka T, Yamaki E, Kuwano H. Thoracoscopic resection of a mesenchymal cystic hamartoma of the lung. Gen Thorac Cardiovasc Surg 2011;59:619-22. https://doi.org/10.1007/s11748-010-0740-6
  7. Glezos J, Toppin D, Cooney T. Mesenchymal cystic hamartoma presenting with spontaneous pneumothorax. Can Respir J 2003;10:280-1. https://doi.org/10.1155/2003/595082
  8. Van Klaveren RJ, Hassing HH, Wiersma-van Tilburg JM, Lacquet LK, Cox AL. Mesenchymal cystic hamartoma of the lung: a rare cause of relapsing pneumothorax. Thorax 1994;49:1175-6. https://doi.org/10.1136/thx.49.11.1175

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  1. Mesenchymal cystic hamartoma presenting with pneumothorax: case report and review of the literature vol.68, pp.12, 2016, https://doi.org/10.1007/s11748-020-01370-x