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Case Report
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| Mesenchymal cystic hamartoma of the lung associated with diffuse alveolar damage | ||||||
| Luvo Gaxa1, Bafana Hlatshwayo2, Aletta Lefentse Motene3 | ||||||
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1MBChB, MMed (Rad D), Pediatric Radiology Fellow, Red Cross war Memorial Children’s Hospital Coromplex, Polokwane, Capetown, South Africa
2Dip Rad Diag, MBChB, MMed (Rad D), Senior Specialist, Diagnostic Radiology and Imaging, Polokwane-Mankweng Hospital Complex, Polokwane, Limpopo, South Africa 3MBchB, FC Ped, Fellow of Pediatric Pulmonology, Senior Specialist, Pediatrics, Polokwane-Mankweng Hospital Complex, Polokwane, Limpopo, South Africa | ||||||
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| How to cite this article |
| Gaxa L, Hlatshwayo B, Motene AL. Mesenchymal cystic hamartoma of the lung associated with diffuse alveolar damage. Case Rep Int 2017;6:27–30. |
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ABSTRACT
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Introduction:
Mesenchymal cystic hamartoma (MCH) of the lung is a clinicopathological and a rare entity with typical pathological features. Mesenchymal cystic hamartoma is characterized by cystic pulmonary lesions that tend to increase in size slowly. The pulmonary hamartomas usually are asymptomatic more especially when they are small in size. The treatment is conservative in asymptomatic patients. The ultimate treatment is surgical for the large and symptomatic lung mesenchymal hamartomas. Case Report: A six-month-old male neonate was referred from a regional hospital with a history of progressive shortness of breath and fever. The chest X-ray was performed and it showed a thin walled left lung cystic mass with mediastinal deviation to the right side. Computed tomography scan followed the chest X-ray and it confirmed large and smaller cysts with thin walls. Biopsy was performed and it confirmed the diagnosis of mesenchymal cystic hamartoma of the lung. Thoracotomy and the excision of the left lung cysts were done and later the neonate was discharged from the hospital without complications. Conclusion: It is of utmost importance to consider a cystic mesenchymal lung hamartoma in our differential diagnosis when dealing with cystic lung masses in children. | |
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Keywords:
Clinicopathological, Mesenchymal cystic lung hamartoma, Treatment
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Acknowledgements
We are thankful to our radiographers Molopa Moyahabo Tink, Makuka Emilly Mogashoa, Julia Madzorera and Portia Macheke for retrieving and preparing images for this case study. |
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Author Contributions
Luvo Gaxa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Bafana Elliot Hlatshwayo – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Aletta Lefentse Motene – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Luvo Gaxa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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