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J Korean Soc Radiol.  2014 May;70(5):347-350. 10.3348/jksr.2014.70.5.347.

Computed Tomography Findings of Alveolar Adenoma of the Lung with Histopathologic Comparison: A Case Report

Affiliations
  • 1Department of Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea. ryu@gnah.co.kr
  • 2Department of Pathology, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Korea.

Abstract

Alveolar adenoma is a rare pulmonary neoplasm with a female predominance, and it was considered to be a histologic variant of sclerosing hemangioma in the past. A chest X-ray usually shows a well-defined, peripheral, solitary nodule similar to that of sclerosing hemangioma. Chest CT shows a solitary, well-defined, peripheral nodule with homogeneous density and no contrast enhancement, which is contrary to marked contrast enhancement of sclerosing hemangioma. We report the first case of alveolar adenoma with spotty enhancement of the nodule similar to that of sclerosing hemangioma on contrast enhanced CT, based on the presence of stromal vessels in the interstitium of the compact alveolar area on histopathologic comparison.


MeSH Terms

Adenoma*
Female
Histiocytoma, Benign Fibrous
Humans
Lung Neoplasms
Lung*
Thorax
Tomography, X-Ray Computed
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