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Vol.49 No.6 contents Japanese/English

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Article in Japanese

- Case Report -

Bronchioloalveolar Carcinoma Identified on Periodical Computed Tomography for Hamartoma

Jun Miyagi1, Morikazu Akamine2, Hidenori Kawasaki3, Tsutomu Kawabata3, Seiji Ishikawa3
1Department of Surgery, 2Department of Internal Medicine, Okinawa Red Cross Hospital, Japan, 3Department of Surgery, National Okinawa Hospital, Japan

Background. Lung hamartoma with lung cancer has sometimes been reported. Case. Chest computed tomography (CT) in a 70-year-old woman was revealed a 2.0×1.5 cm nodule in the right S3. It was considered to be a lung hamartoma. Periodical CT examination was conducted, and 24 months later, a lesion with ground-glass opacity (GGO) was found in the same lobe as the lung hamartoma. The tumor was resected using video-assisted thoracic surgery (VATS). The post-operative pathologic diagnosis was bronchioloalveolar carcinoma of the lung. After the operation, the patient made a favorable recovery, and has maintained in good condition without recurrence for 5 years to date. Conclusion. The relationship between lung hamartoma and lung carcinoma is not clear. We consider that periodical CT examination contributes to identifying such tumors.
key words: Lung hamartoma, Bronchioloalveolar carcinoma of the lung, Lung adenocarcinoma, Ground-glass opacity, Periodical CT examination

Received: May 8, 2009
Accepted: June 25, 2009

JJLC 49 (6): 881-884, 2009

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