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Published in: Lung 4/2016

01-08-2016

Malignant Pigmented Mass “Sequestrated” in the Lung: A Unique Case Report

Authors: Maria Cecilia Mengoli, Filippo Lococo, Roberta Depenni, Uliano Morandi, Giulio Rossi

Published in: Lung | Issue 4/2016

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Abstract

Primary lung tumors arising in pulmonary sequestration is an exceptional event, usually consisting of common histologic types. On the other hand, malignant perivascular epithelioid cell (PEComatous) tumors with deposition of melanin pigment have never been reported in the lung so far. In this study, we report a challenging case of a 34-year-old man presented with recurrent hemoptysis and CT scan detection of a pulmonary mass at the left lower lobe, vascularized by aberrant communication with the left diaphragmatic artery. After surgical resection, we documented a malignant PEComatous tumor (characterized by TFE3 expression and high mitotic rate) that had arisen in the context of an extralobar sequestration.
Literature
1.
go back to reference Savic B, Birtel FJ, Tholen W, Funke HD, Knoche R (1979) Lung sequestration: report of seven cases and review of 540 published cases. Thorax 34:96–101CrossRefPubMedPubMedCentral Savic B, Birtel FJ, Tholen W, Funke HD, Knoche R (1979) Lung sequestration: report of seven cases and review of 540 published cases. Thorax 34:96–101CrossRefPubMedPubMedCentral
2.
go back to reference Belchis D, Cowan M, Mortman K, Rezvani B (2014) Adenocarcinoma arising in an extralobar sequestration: a case report and review of the literature. Lung Cancer 84:92–95CrossRefPubMed Belchis D, Cowan M, Mortman K, Rezvani B (2014) Adenocarcinoma arising in an extralobar sequestration: a case report and review of the literature. Lung Cancer 84:92–95CrossRefPubMed
3.
go back to reference Thway K, Fisher C (2015) PEComa: morphology and genetics of a complex tumor family. Ann Diagn Pathol 19:359–368CrossRefPubMed Thway K, Fisher C (2015) PEComa: morphology and genetics of a complex tumor family. Ann Diagn Pathol 19:359–368CrossRefPubMed
4.
go back to reference Malinowska I, Kwiatkowski DJ, Weiss S et al (2012) Perivascular epithelioid cell tumors (PEComas) harboring TFE3 gene rearrangements lack the TSC2 alterations characteristic of conventional PEComas: further evidence for a biological distinction. Am J Surg Pathol 36:783–784CrossRefPubMedPubMedCentral Malinowska I, Kwiatkowski DJ, Weiss S et al (2012) Perivascular epithelioid cell tumors (PEComas) harboring TFE3 gene rearrangements lack the TSC2 alterations characteristic of conventional PEComas: further evidence for a biological distinction. Am J Surg Pathol 36:783–784CrossRefPubMedPubMedCentral
Metadata
Title
Malignant Pigmented Mass “Sequestrated” in the Lung: A Unique Case Report
Authors
Maria Cecilia Mengoli
Filippo Lococo
Roberta Depenni
Uliano Morandi
Giulio Rossi
Publication date
01-08-2016
Publisher
Springer US
Published in
Lung / Issue 4/2016
Print ISSN: 0341-2040
Electronic ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-016-9897-9

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