Abstract

BackgroundSpindle cell hemangioma (SCH) was an extremely rare benign tumor which typically arised in the subcutis of the distal extremities of young people. In this study, we reported a case of multiple spindle cell hemangioma in both lungs.Case presentationA 19-year-old HIV-negative female was found to have multiple lung nodules by the chest X-ray during the physical examination. Her chest CT scan revealed multiple round-like pulmonary nodules in both lungs. Based on the morphological features and immunohistochemical examination for vascular markers CD31, CD34 and D2–40, the mass was diagnosed as SCH after surgery.ConclusionSCH was an extremely rare tumor especially in both lungs. It should be considered in differential diagnosis of multiple lung nodules. Pathological features, the expression of CD31, CD34 and D2–40 could help to diagnosis of SCH.

Highlights

  • Spindle cell hemangioma (SCH) was an extremely rare benign tumor which typically arised in the subcutis of the distal extremities of young people

  • Spindle cell hemangiomas which occur in both lungs were rare and they were not discussed fully in the published literature

  • We presented a case in which spindle cell hemangiomas were discovered on the lungs incidentally

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Summary

Background

Spindle cell hemangiomas which occur in both lungs were rare and they were not discussed fully in the published literature. Spindle cell hemangioma commonly arose in the subcutis, especially at the distal extremities. It frequently happened under the skin or under the mucous membrane. We presented a case in which spindle cell hemangiomas were discovered on the lungs incidentally. Case presentation A 19-year-old HIV- negative female was found to have multiple lung nodules by the chest X-ray during the physical examination. She had no symptoms at all such as chest tightness, cough or low fever. Morphological features were those of pulmonary spindle

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