Korean J Cytopathol.  1998 Dec;9(2):193-200.

Fine Needle Aspiration Cytology of the Sclerosing Hemangioma of the Lung: A Report of Five Cases

• Kim JY
• Lee YH
• Lee KG

Abstract

Sclerosing hemangioma is a rare, benign neoplasm of the lung, usually presented as a solitary pulmonary nodule in an otherwise asymptomatic middle-aged woman. Cytologically it shows papillary, sheet, and cyst-like arrangements representing three main histologic patterns of papillary, solid, and angiomatous ones, respectively. Herein, we report the fine needle aspiration cytology of 5 cases of sclerosing hemangioma of the lung. The most characteristic finding is cyst-like spaces intimately related to the papillary or solid cell nests. The tumor cells are relatively monotonous, round to oval, small to medium in size. They have small amount of eosinophilic cytoplasm. The nuclei are uniform, round and have small but conspicuous nucleoli. The tumor cells in one of the presenting cases are large with abundant cytoplasm and show moderate nuclear pleomorphism. The nuclear chromatin, however, is fine and even without exception, even in the case showing nuclear pleomorphism. Major differential diagnoses based on the cytologic findings are well-differentiated papillary adenocarcinoma, bronchioloalveolar carcinoma, and carcinoid tumor.

Keyword

Sclerosing hemangioma; Lung; Fine needle aspiration cytology

MeSH Terms

Adenocarcinoma, Bronchiolo-Alveolar
Adenocarcinoma, Papillary
Biopsy, Fine-Needle*
Carcinoid Tumor
Chromatin
Cytoplasm
Diagnosis, Differential
Eosinophils
Female
Histiocytoma, Benign Fibrous*
Humans
Lung
Pulmonary Sclerosing Hemangioma*
Solitary Pulmonary Nodule
Chromatin