Hamartoma chest x ray: Difference between revisions

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{{Hamartoma}}
{{Hamartoma}}
{{CMG}}{{AE}}{{MV}}
{{CMG}}{{AE}}{{MV}} ; {{VKG}}


==Overview==
==Overview==
On CXR, lung hamartomas are characterized by showing a sharply demarcated pulmonary nodule and popcorn calcifications (feature of chondroid calcifications in hamartomas). This pattern is a reliable indicator of a benign lesion but is present in only a minority of cases.<ref name="pmid1513155">{{cite journal |vauthors=Hansen CP, Holtveg H, Francis D, Rasch L, Bertelsen S |title=Pulmonary hamartoma |journal=J. Thorac. Cardiovasc. Surg. |volume=104 |issue=3 |pages=674–8 |year=1992 |pmid=1513155 |doi= |url=}}</ref>
On chest radiography, lung [[hamartomas]] are characterized by a sharply demarcated [[pulmonary nodule]] and [[popcorn]] [[calcification]] (feature of chondroid calcifications in hamartomas).


==Chest X Ray==
==Chest X Ray==
Chest radiography is non-specific, demonstrating a soft tissue attenuation, well-circumscribed mass with either smooth or lobulated margins. Calcification (classically popcorn type) may be seen, which can suggest the diagnosis. Fat is difficult to identify with certainty, although the lesion is typically of low density for its size.<ref name="pmid1513155">{{cite journal |vauthors=Hansen CP, Holtveg H, Francis D, Rasch L, Bertelsen S |title=Pulmonary hamartoma |journal=J. Thorac. Cardiovasc. Surg. |volume=104 |issue=3 |pages=674–8 |year=1992 |pmid=1513155 |doi= |url=}}</ref> There are no CXR findings associated with other types of harmartoma.
*Chest [[radiography]] ([[CXR]]) is non-specific and demonstrates soft tissue attenuation and a well-circumscribed mass with either smooth or lobulated margins.<ref name="pmid12376601">{{cite journal |vauthors=Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ |title=Fat-containing lesions of the chest |journal=Radiographics |volume=22 Spec No |issue= |pages=S61–78 |year=2002 |pmid=12376601 |doi=10.1148/radiographics.22.suppl_1.g02oc08s61 |url=}}</ref><ref name="ItogaKobayashi2013">{{cite journal|last1=Itoga|first1=Masamichi|last2=Kobayashi|first2=Yoshiki|last3=Takeda|first3=Masahide|last4=Moritoki|first4=Yuki|last5=Tamaki|first5=Mami|last6=Nakazawa|first6=Kenji|last7=Sasaki|first7=Toru|last8=Konno|first8=Hayato|last9=Matsuzaki|first9=Ikuo|last10=Ueki|first10=Shigeharu|title=A Case of Pulmonary Hamartoma Showing Rapid Growth|journal=Case Reports in Medicine|volume=2013|year=2013|pages=1–3|issn=1687-9627|doi=10.1155/2013/231652}}</ref><ref name="pmid22919888">{{cite journal |vauthors=Radosavljevic V, Gardijan V, Brajkovic M, Andric Z |title=Lung hamartoma--diagnosis and treatment |journal=Med Arch |volume=66 |issue=4 |pages=281–2 |date=2012 |pmid=22919888 |doi= |url=}}</ref><ref name="pmid28050379">{{cite journal |vauthors=Kishore M, Gupta P, Preeti, Deepak D |title=Pulmonary Hamartoma Mimicking Malignancy: A Cytopathological Diagnosis |journal=J Clin Diagn Res |volume=10 |issue=11 |pages=ED06–ED07 |date=November 2016 |pmid=28050379 |pmc=5198332 |doi=10.7860/JCDR/2016/22597.8844 |url=}}</ref><ref name="pmid3685839">{{cite journal |vauthors=Steen-Hansen E |title=The diagnostic value of chest X-ray combined with fine-needle aspiration biopsy in patients suspected for pulmonary hamartomas |journal=Rontgenblatter |volume=40 |issue=10 |pages=321–4 |date=October 1987 |pmid=3685839 |doi= |url=}}</ref>
 
*On chest radiography, common findings of pulmonary hamartoma include:
==Gallery==
:*[[Calcification]] ("popcorn pattern")
<div align="center">
:**Popcorn pattern is a reliable indicator of a benign lesion but is present in only a minority of cases<ref name="pmid12376601">{{cite journal |vauthors=Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ |title=Fat-containing lesions of the chest |journal=Radiographics |volume=22 Spec No |issue= |pages=S61–78 |year=2002 |pmid=12376601 |doi=10.1148/radiographics.22.suppl_1.g02oc08s61 |url=}}</ref>
<gallery heights="225" widths="225">
:*[[Fat]]: the lesion is typically of low density for its size<ref name="pmid1513155">{{cite journal |vauthors=Hansen CP, Holtveg H, Francis D, Rasch L, Bertelsen S |title=Pulmonary hamartoma |journal=J. Thorac. Cardiovasc. Surg. |volume=104 |issue=3 |pages=674–8 |year=1992 |pmid=1513155 |doi= |url=}}</ref>  
Image:Pulmonary-hamartoma-4-1.png|Frontal chest x-ray (CXR) shows a well circumscribed, smooth margin lesion in the left middle lobe.
*There are no CXR findings associated with other types of harmartomas<ref name="pmid12376601">{{cite journal |vauthors=Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ |title=Fat-containing lesions of the chest |journal=Radiographics |volume=22 Spec No |issue= |pages=S61–78 |year=2002 |pmid=12376601 |doi=10.1148/radiographics.22.suppl_1.g02oc08s61 |url=}}</ref>
Image:Pulmonary-hamartoma-4-2.png|Lateral chest x-ray (CXR) shows a well circumscribed soft tissue attenuation lesion overlapping the heart
</gallery>
</div>


==References==
==References==
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Latest revision as of 22:00, 21 December 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2] ; Vamsikrishna Gunnam M.B.B.S [3]

Overview

On chest radiography, lung hamartomas are characterized by a sharply demarcated pulmonary nodule and popcorn calcification (feature of chondroid calcifications in hamartomas).

Chest X Ray

  • Chest radiography (CXR) is non-specific and demonstrates soft tissue attenuation and a well-circumscribed mass with either smooth or lobulated margins.[1][2][3][4][5]
  • On chest radiography, common findings of pulmonary hamartoma include:
  • Calcification ("popcorn pattern")
    • Popcorn pattern is a reliable indicator of a benign lesion but is present in only a minority of cases[1]
  • Fat: the lesion is typically of low density for its size[6]
  • There are no CXR findings associated with other types of harmartomas[1]

References

  1. 1.0 1.1 1.2 Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ (2002). "Fat-containing lesions of the chest". Radiographics. 22 Spec No: S61–78. doi:10.1148/radiographics.22.suppl_1.g02oc08s61. PMID 12376601.
  2. Itoga, Masamichi; Kobayashi, Yoshiki; Takeda, Masahide; Moritoki, Yuki; Tamaki, Mami; Nakazawa, Kenji; Sasaki, Toru; Konno, Hayato; Matsuzaki, Ikuo; Ueki, Shigeharu (2013). "A Case of Pulmonary Hamartoma Showing Rapid Growth". Case Reports in Medicine. 2013: 1–3. doi:10.1155/2013/231652. ISSN 1687-9627.
  3. Radosavljevic V, Gardijan V, Brajkovic M, Andric Z (2012). "Lung hamartoma--diagnosis and treatment". Med Arch. 66 (4): 281–2. PMID 22919888.
  4. Kishore M, Gupta P, Preeti, Deepak D (November 2016). "Pulmonary Hamartoma Mimicking Malignancy: A Cytopathological Diagnosis". J Clin Diagn Res. 10 (11): ED06–ED07. doi:10.7860/JCDR/2016/22597.8844. PMC 5198332. PMID 28050379.
  5. Steen-Hansen E (October 1987). "The diagnostic value of chest X-ray combined with fine-needle aspiration biopsy in patients suspected for pulmonary hamartomas". Rontgenblatter. 40 (10): 321–4. PMID 3685839.
  6. Hansen CP, Holtveg H, Francis D, Rasch L, Bertelsen S (1992). "Pulmonary hamartoma". J. Thorac. Cardiovasc. Surg. 104 (3): 674–8. PMID 1513155.


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