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Case 22 - Pulmonary hamartoma

Published online by Cambridge University Press:  07 October 2011

Thomas Hartman
Affiliation:
Mayo Clinic, Rochester
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Summary

Imaging description

Pulmonary hamartomas are the most common benign tumor in the lungs. They present as solitary, round, well-circumscribed soft tissue opacities in the lung parenchyma on CT imaging [1–3]. Areas of fat (60%) or calcification (26%) can be seen within the nodule [1]. When areas of fat are identified in a nodule on CT imaging, the diagnosis of hamartoma can typically be made (Figures 22.1–22.3).

Importance

Hamartomas are benign lesions that do not need further workup or resection if they are asymptomatic. Since they usually present as an indeterminate nodule on the chest radiograph, a CT is often obtained to exclude malignancy. Recognition of fat within the nodule on CT will make the diagnosis of hamartoma and will exclude malignancy.

Type
Chapter
Information
Pearls and Pitfalls in Thoracic Imaging
Variants and Other Difficult Diagnoses
, pp. 58 - 59
Publisher: Cambridge University Press
Print publication year: 2011

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References

Siegelman, SSKhouri, NFScott, WWPulmonary hamartoma: CT findingsRadiology 1986 160 313CrossRefGoogle ScholarPubMed
Hansen, CPHoltveg, HFrancis, DPulmonary hamartomaJ Thorac Cardiovasc Surg 1992 104 674Google ScholarPubMed
Gaerte, SCMeyer, CAWiner-Muram, HTFat-containing lesions of the chestRadiographics 2002 22 S61CrossRefGoogle ScholarPubMed

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