Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features

Pulmonary sclerosing pneumocytoma is a rare benign neoplasm typically seen in middle-aged women. The exact preoperative diagnosis is quite challenging considering its nonspecific clinical and radiologic features along with complex histology. Moreover, obtaining an exact histopathological diagnosis c...

Full description

Saved in:
Bibliographic Details
Main Authors: Manphool Singhal, Nishita Yadav, Pavithra Subramanian, Harkant Singh, Amanjit Bal, Arun Sharma
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2025-01-01
Series:Indian Journal of Radiology and Imaging
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789244
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850251070793580544
author Manphool Singhal
Nishita Yadav
Pavithra Subramanian
Harkant Singh
Amanjit Bal
Arun Sharma
author_facet Manphool Singhal
Nishita Yadav
Pavithra Subramanian
Harkant Singh
Amanjit Bal
Arun Sharma
author_sort Manphool Singhal
collection DOAJ
description Pulmonary sclerosing pneumocytoma is a rare benign neoplasm typically seen in middle-aged women. The exact preoperative diagnosis is quite challenging considering its nonspecific clinical and radiologic features along with complex histology. Moreover, obtaining an exact histopathological diagnosis can be difficult especially with the small biopsy specimens. Most patients are generally asymptomatic with incidental detection of peripheral, homogenous, solitary pulmonary nodule. It is essential to differentiate it from other mimickers including malignant lesions as limited surgical resection is curative in these cases without adjuvant therapy. We present a rare giant cystic variant of pneumocytoma, in a young male, which was initially mimicking inflammatory myofibroblastic tumor even on preoperative histology.
format Article
id doaj-art-9bbbb6788aed4ea3939b3a54e52926ee
institution OA Journals
issn 0971-3026
1998-3808
language English
publishDate 2025-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Radiology and Imaging
spelling doaj-art-9bbbb6788aed4ea3939b3a54e52926ee2025-08-20T01:58:00ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082025-01-01350119219510.1055/s-0044-1789244Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological FeaturesManphool Singhal0https://orcid.org/0000-0002-1311-7203Nishita Yadav1Pavithra Subramanian2https://orcid.org/0000-0001-7821-7961Harkant Singh3Amanjit Bal4Arun Sharma5https://orcid.org/0000-0001-5945-4224Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Cardiovascular & Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaPulmonary sclerosing pneumocytoma is a rare benign neoplasm typically seen in middle-aged women. The exact preoperative diagnosis is quite challenging considering its nonspecific clinical and radiologic features along with complex histology. Moreover, obtaining an exact histopathological diagnosis can be difficult especially with the small biopsy specimens. Most patients are generally asymptomatic with incidental detection of peripheral, homogenous, solitary pulmonary nodule. It is essential to differentiate it from other mimickers including malignant lesions as limited surgical resection is curative in these cases without adjuvant therapy. We present a rare giant cystic variant of pneumocytoma, in a young male, which was initially mimicking inflammatory myofibroblastic tumor even on preoperative histology.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789244giant cystic pneumocytomainflammatory myofibroblastic tumorlobectomypulmonary sclerosing hemangioma“air gap sign”“welt vessel” sign
spellingShingle Manphool Singhal
Nishita Yadav
Pavithra Subramanian
Harkant Singh
Amanjit Bal
Arun Sharma
Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
Indian Journal of Radiology and Imaging
giant cystic pneumocytoma
inflammatory myofibroblastic tumor
lobectomy
pulmonary sclerosing hemangioma
“air gap sign”
“welt vessel” sign
title Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
title_full Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
title_fullStr Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
title_full_unstemmed Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
title_short Giant Cystic Pneumocytoma in a Young Male: Rare Diagnostic Conundrum with Clinicoradiological and Histopathological Features
title_sort giant cystic pneumocytoma in a young male rare diagnostic conundrum with clinicoradiological and histopathological features
topic giant cystic pneumocytoma
inflammatory myofibroblastic tumor
lobectomy
pulmonary sclerosing hemangioma
“air gap sign”
“welt vessel” sign
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1789244
work_keys_str_mv AT manphoolsinghal giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures
AT nishitayadav giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures
AT pavithrasubramanian giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures
AT harkantsingh giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures
AT amanjitbal giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures
AT arunsharma giantcysticpneumocytomainayoungmalerarediagnosticconundrumwithclinicoradiologicalandhistopathologicalfeatures