Tuberc Respir Dis.  2013 Jul;75(1):36-39.

A Case of Capillary Hemangioma of Lingular Segmental Bronchus in Adult

• Cho NJ
• Baek AR
• Kim J
• Park JS
• Jang AS
• Park JS
• Koh ES
• Park CS

Abstract

Capillary hemangioma of the tracheobronchial tree is an extremely rare benign tumor in adults, especially those located in the bronchus. Characteristics and treatment of capillary hemangiomas of adult tracheobronchial trees have not been well known. We present a 61-year-old man with hemoptysis, which was caused by a small tiny nodule in the left lingular segmental bronchus. The nodule was removed by a forcep biopsy, via flexible bronchoscopy, and it was revealed to be capillary hemangioma. A small isolated endobronchial capillary hemangioma can be treated with excisional forcep biopsy, but a risk of massive bleeding should not be overlooked.

Keyword

Hemangioma, Capillary; Bronchi; Hemoptysis; Bronchoscopy

MeSH Terms

Adult
Biopsy
Bronchi
Bronchoscopy
Capillaries
Hemangioma, Capillary
Hemoptysis
Hemorrhage
Humans
Surgical Instruments

Figure

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  Figure 1 Axial (A) and sagittal (B) chest computed tomography scan shows a tiny protruding nodule with enhancement (arrowhead) at bronchial wall of lingular segment of left upper lobe.

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  Figure 2 Bronchoscopic finding. (A) Polypoid capillary hemangioma located in left lingular segmental bronchus. (B) The same lesion being removed by biopsy forcep.

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  Figure 3 (A) Photomicrograph showing vascular proliferation of capillary caliber and partly eroded bronchial epithelium (H&E stain, ×100). (B) Immunohistochemical stain demonstarte CD31-positive endothelial cells (×100).

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