Surgery for Pulmonary Sclerosing Hemangioma: Lobectomy versus Limited Resection.
- Author:
Joon Seok PARK
1
;
Kwhanmien KIM
;
Sumin SHIN
;
Hunbo SHIM
;
Hong Kwan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. kmkim0070@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Lung neoplasms;
Surgery;
Hemangioma
- MeSH:
Consensus;
Follow-Up Studies;
Hemangioma;
Humans;
Length of Stay;
Lung Neoplasms;
Lymph Node Excision;
Lymph Nodes;
Medical Records;
Neoplasm Metastasis;
Postoperative Complications;
Pulmonary Sclerosing Hemangioma;
Recurrence;
Retrospective Studies;
Surgical Procedures, Operative;
Thoracic Surgery, Video-Assisted
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2011;44(1):39-43
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Pulmonary sclerosing hemangioma is a rare thoracic tumor, and pathophysiology or clinical course of this tumor is not yet fully described. Furthermore, there is no consensus on the standard operative procedure for this tumor. MATERIAL AND METHODS: Medical records of thirty-two patients, who underwent surgical resection of pulmonary sclerosing hemangioma from 1996 to 2007, were retrospectively reviewed. RESULTS: Nineteen patients underwent lobectomy and thirteen patients underwent limited resection. Video-assisted thoracoscopic surgery was performed in 9 patients in the latter group. Lymph node dissection was done in 21 patients, and one patient was found to have lymph node metastasis of the tumor. There was no postoperative complication, no early death and no tumor-related late mortality. The mean follow-up duration was 39.3 months (2 months~129 months), and all patients were free of local recurrence and distant metastasis during this period. There was no significant difference in patient's characteristics between the two groups, except that the mean hospital stay was shorter in limited resection group than in lobectomy group (p=0.0031). CONCLUSION: Pulmonary sclerosing hemangioma usually requires surgical resection for both diagnosis and treatment. Limited resection can decrease hospital stay with a surgical outcome comparable to lobectomy, and may be preferred to lobectomy if sufficient resection margin can be achieved.
