Non-neoplastic sclerotic pulmonary lesion (sclerosing hemangioma). Report of a case

Benign sclerosing pneumocytoma of lung (sclerosing haemangioma)

The clinical and histopathological features of 14 cases of so-called sclerosing haemangioma of the lung are described. All developed in Hong Kong Chinese women. Histochemical and ultrastructural study of these tumours indicates an epithelial origin. The term benign sclerosing pneumocytoma is suggested as being more appropriate for this unusual tumour.

"Sclerosing haemangioma" of the lung: an alternative view of its development

;Sclerosing haemangioma' is a name which has been applied to a group of uncommon benign pulmonary lesions characterized by their papillary nature, a sclerotic stroma containing lipid, and, in some cases, evidence of haemorrhage. There is little evidence that these lesions are really angiomatous. Studies of two examples removed surgically after being discovered as incidental radiographic findings, show that the cells lining the papillae have large vacuoles which contain whorled, electron-dense inclusions. These epithelial cells have the features of granular pneumonocytes, cells known to contain phospholipid. Both lipid and cholesterol are abundant in the stroma of both tumours and the lipid is distributed in a nodular fashion. Histochemically the lipid gives a strong reaction to stains for phospholipid and it is suggested that the lipid is derived, not from the haemorrhage, but is produced by the epithelial element of the tumour.