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Placental transmogrification of the lung presenting as a peripheral solitary nodule in a male with the history of trauma: A case report.

Abstract Placental transmogrification of the lung is a very rare lesion which was characterized by the presence of papillae resembling placental villi. Its pathogenesis still remains unclear. Some authors think that this lesion is congenital and related to hamartoma, and others advocate it is secondary change after emphysema. So far, the majority of reported cases manifested as bullous lesions, to our knowledge , only two cases presented as a solitary nodule.
PMID
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Authors

Mayor MeshTerms

Lung

Pulmonary Emphysema

Keywords
Journal Title medicine
Publication Year Start




PMID- 29718888
OWN - NLM
STAT- MEDLINE
DCOM- 20180509
LR  - 20180509
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 18
DP  - 2018 May
TI  - Placental transmogrification of the lung presenting as a peripheral solitary
      nodule in a male with the history of trauma: A case report.
PG  - e0661
LID - 10.1097/MD.0000000000010661 [doi]
AB  - RATIONALE: Placental transmogrification of the lung is a very rare lesion which
      was characterized by the presence of papillae resembling placental villi. Its
      pathogenesis still remains unclear. Some authors think that this lesion is
      congenital and related to hamartoma, and others advocate it is secondary change
      after emphysema. So far, the majority of reported cases manifested as bullous
      lesions, to our knowledge , only two cases presented as a solitary nodule.
      PATIENT CONCERNS: Herein, we report the third case presenting as a small nodule
      in a 49-year-old male. Chest computed tomography revealed a nodular shadow
      measuring 2.6 x 1.2 cm in the right lower lobe of the lung. Histologically, the
      tumor composed of papillary structures covered by cuboidal pneumocytes and bland 
      clear cells and abundant capillaries in the stroma. DIAGNOSIS: The lesion was
      diagnosed as a placental transmogrification of the lung. INTERVENTION: The
      patient then underwent wedge resection in our hospital. OUTCOMES: The
      postoperative course was uneventful. LESSONS: The patient had a history of
      traffic accident half a year before the nodule was detected. This prompts
      placental transmogrification of the lung may at least partially represent a
      acquired malformation. The present case aims to raise a new suggestion for its
      possible nature. In our opinion, PT may simply represent a benign morphologic
      change rather than an independent disease. It may be encountered in both
      congenital and secondary lesions.
FAU - Yang, Man
AU  - Yang M
AD  - Department of Pathology, the First Affiliated Hospital and College of Basic
      Medical Sciences, China Medical University, Shenyang, China.
FAU - Zhang, Xue-Ting
AU  - Zhang XT
FAU - Liu, Xiao-Fang
AU  - Liu XF
FAU - Lin, Xu-Yong
AU  - Lin XY
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Accidents, Traffic
MH  - Diagnosis, Differential
MH  - Humans
MH  - *Lung/diagnostic imaging/pathology
MH  - Lung Injury/*complications
MH  - Male
MH  - Middle Aged
MH  - Pneumonectomy/*methods
MH  - *Pulmonary Emphysema/diagnostic imaging/pathology/physiopathology
MH  - Solitary Pulmonary Nodule/*diagnosis
MH  - Tomography, X-Ray Computed/methods
MH  - Treatment Outcome
EDAT- 2018/05/03 06:00
MHDA- 2018/05/10 06:00
CRDT- 2018/05/03 06:00
PHST- 2018/05/03 06:00 [entrez]
PHST- 2018/05/03 06:00 [pubmed]
PHST- 2018/05/10 06:00 [medline]
AID - 10.1097/MD.0000000000010661 [doi]
AID - 00005792-201805040-00056 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(18):e0661. doi: 10.1097/MD.0000000000010661.