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肺硬化性血管瘤:一种具有恶变潜能的良性肿瘤?

Sclerosing hemangioma of the lung: a benign tumour with potential for malignancy?

作者信息

Jungraithmayr Wolfgang, Eggeling Stephan, Ludwig Corinna, Kayser Gian, Passlick Bernward

机构信息

Department of Thoracic Surgery, University Hospital of Freiburg, Freiburg, Germany.

出版信息

Ann Thorac Cardiovasc Surg. 2006 Oct;12(5):352-4.

Abstract

Pulmonary sclerosing hemangioma represents a rare neoplasm with variable potential for progression. This case report of a 35-year-old female with left-sided thoracic pain. Computed tomography revealed a centrally located, well-circumscribed and partially calcified lesion. Intraoperative findings were suggestive of a carcinoid tumour. The tumour was completely removed by lobectomy followed by systematic lymphadenectomy. The histopathological analysis revealed a sclerosing hemangioma, a rare benign neoplasm. Sclerosing hemangiomas (SHs) are true neoplasms derived from alveolar pneumocytes. However, little data is available on the potential malignant behaviour, such as lymphnode metastases, local recurrence, and the appearance of SH's. Generally, wedge resection is justified in the majority of cases, but in cases of uncertain intraoperative diagnosis, anatomic resection with systematic lymphadenectomy is recommended.

摘要

肺硬化性血管瘤是一种罕见的肿瘤,具有不同的进展潜能。本病例报告为一名35岁左侧胸痛女性。计算机断层扫描显示一个位于中央、边界清晰且部分钙化的病变。术中发现提示为类癌肿瘤。通过肺叶切除术及系统性淋巴结清扫术将肿瘤完全切除。组织病理学分析显示为硬化性血管瘤,一种罕见的良性肿瘤。硬化性血管瘤(SHs)是源自肺泡上皮细胞的真性肿瘤。然而,关于其潜在恶性行为,如淋巴结转移、局部复发及SHs表现的数据很少。一般来说,大多数病例行楔形切除术是合理的,但在术中诊断不明确的情况下,建议行解剖性切除及系统性淋巴结清扫术。

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