Adler Brent, Naheedy John, Yeager Nicholas, Nicol Kathleen, Klamar Jan
Department of Radiology, Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Pediatr Radiol. 2005 Oct;35(10):1014-8. doi: 10.1007/s00247-005-1492-9. Epub 2005 May 24.
We report on a 16-year-old white male presenting with a 4-month history of syncopal episodes and occasional headaches. The CT and MRI studies revealed numerous lytic lesions of the skull base and cervical spine; subsequently, similar lesions were demonstrated in all areas of the skeleton, and CT showed numerous lesions in the lungs, liver, and kidneys. Excisional biopsy from several sites confirmed the diagnosis of epithelioid hemangioendothelioma. We conclude that epithelioid hemangioendothelioma should be added to the differential diagnosis for lytic lesions of bone that are clustered in the same anatomic region and that might also present with visceral involvement.
我们报告了一名16岁白人男性，有4个月的晕厥发作史及偶尔头痛。CT和MRI检查显示颅底和颈椎有多处溶骨性病变；随后，全身骨骼各部位均发现类似病变，CT显示肺部、肝脏和肾脏也有多处病变。多个部位的切除活检确诊为上皮样血管内皮瘤。我们得出结论，上皮样血管内皮瘤应列入同一解剖区域内成簇分布且可能伴有内脏受累的骨溶骨性病变的鉴别诊断中。
