CASE REPORT: Extralobar pulmonary sequestration presenting a paravertebral mass with extensive fibroadenomatous change in an adult

Song Yi Choi, Jungsuk An, Jae Jun Lee, Joungho Han, Young Mog Shim, Chin A. Yi
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Abstract

We report herein an unusual case of pulmonary extralobar sequestration (ELS) showing fibroadenomatous change. It was incidentally found in a 41-year-old woman presenting with a paravertebral mass on chest radiography during a routine health check-up. Computed tomography reveled a 3.6 cm, well-defined solid mass in the paravertebral region. The resected mass was predominantly solid and well-covered by pleura with irregular cystic spaces. Microscopically, it showed a unique fibroadenomatous change, dilated bronchiolar structures and prominent fibrous stroma. In the periphery of the mass, a small portion of the lung with normal alveolar structure was noted. The lining epithelium showed reactivity for thyroid transcription factor-1 by immunohistochemical staining.

病例报告:一例成人椎外肺隔离表现为椎旁肿块伴广泛纤维腺瘤改变
我们在此报告一例罕见的肺叶外隔离(ELS)表现为纤维腺瘤改变。在一名41岁女性的例行健康检查中,偶然发现胸片上有椎旁肿块。计算机断层扫描显示在椎旁区域有一个3.6厘米、界限清晰的实性肿块。切除的肿块以实性为主,被胸膜覆盖,并伴有不规则囊性间隙。镜下表现为独特的纤维腺瘤改变,细支气管结构扩张,纤维间质突出。肿块周围可见一小部分肺泡结构正常的肺。免疫组化染色显示上皮对甲状腺转录因子-1具有反应性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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