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BC Thoracic Society Case Challenge Vignettes July/August 2003, Volume 10 Issue 5: 280-281

Mesenchymal cystic hamartoma presenting with spontaneous pneumothorax

J Glezos | D Toppin | T Cooney

A 53-year-old woman presented with a spontaneous right-sided pneumothorax. Computed tomography chest scan demonstrated a large bulla involving the right middle lobe. Recurrence of the pneumothorax after initial closed chest tube drainage necessitated thoracotomy and wedge resection. Histopathological examination revealed features consistent with a benign mesenchymal cystic hamartoma. Pneumothorax is a recognized complication of mesenchymal cystic hamartoma, a lesion that also has malignant potential.

Mesenchymal cystic hamartoma | Spontaneous pneumothorax
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