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

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±èµµ¿µ(Kim Do-Young) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
(Ryu Dae-Shick) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
°­±æÇö(Gang Gil-Hyeon) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Pathology
¹Ú¸¸¼ö(Park Man-Soo) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
ÃÖ¼öÁ¤(Choi Soo-Jung) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
¾ÈÀçÈ«(Ahn Jae-Hong) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
½Åµ¿¶ô(Shin Dong-Rock) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
À¯µ¿°ï(Yoo Dong-Gon) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Thoracic and Cardiovascular Surgery

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.

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Alveolar Adenoma, Lung, Computed Tomography
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