Pulmonary Infantile Hemangioma Mimicking a Congenital Cystic Adenomatoid Malformation

Pediatr Dev Pathol. 2019 Oct;22(5):480-485. doi: 10.1177/1093526619838743. Epub 2019 Mar 26.

Abstract

Infantile hemangioma (IH) is the most common benign vascular tumor of infancy, occurring predominantly in the head and neck. It is characterized by specific endothelial expression of glucose transporter-1 (GLUT-1) and involution with time, spontaneous or on beta-blockers treatment. Although some predisposing factors are known, the exact pathogenesis remains unclear. We report a case of pulmonary IH GLUT-1 positive, initially suspected as a cystic pulmonary airway malformation, in a child presenting with both cardiac and renal malformations. The clinical, radiological, pathological, and genetics findings are discussed with a review of the literature. Although pulmonary IH is a rare lesion, it should be suspected when facing a pulmonary cystic mass in a child.

Keywords: chromosomal abnormality; congenital pulmonary airway malformation; infantile hemangioma; lung; vascular tumor.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / genetics*
  • Chromosome Deletion*
  • Chromosomes, Human, Pair 14 / genetics
  • Cystic Adenomatoid Malformation of Lung, Congenital / diagnosis
  • Diagnosis, Differential
  • Fused Kidney / genetics
  • Heart Septal Defects, Ventricular / genetics
  • Hemangioma, Capillary / diagnosis
  • Hemangioma, Capillary / genetics*
  • Hemangioma, Capillary / pathology*
  • Humans
  • Infant
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / genetics*
  • Lung Neoplasms / pathology*
  • Male
  • Neoplastic Syndromes, Hereditary / diagnosis
  • Neoplastic Syndromes, Hereditary / genetics*
  • Neoplastic Syndromes, Hereditary / pathology*
  • Single Umbilical Artery / genetics

Supplementary concepts

  • Hemangioma, capillary infantile