Inoue M, Tanaka I, Masuda R, Kasahara T, Furuhata Y, Takemura T
Department of Thoracic Surgery, Japanese Red Cross Medical Center, Tokyo.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Dec;39(12):2197-202.
Hemangiopericytoma seldom originates from the lung. Only 63 cases in the English literature and 30 cases in the Japanese literature have been reported. A 38-year-old female is presented in this paper. The patient was asymptomatic and was found a coin lesion of the left middle lobe by routine examination. She underwent tumorectomy and has been alive and well for 5 years. 1) The differential diagnosis of hemangiopericytoma from several other tumors is often difficult, as pericytes show no distinctive features on light microscopy. Therefore, it is emphasised that EM studies are obligatory to confirm the diagnosis of this tumor. 2) The origin of vessels with a characteristic staghorn appearance on light microscopy have not been described in previous papers. Bronchial arteriography in this case revealed that tumor vessels arose mainly from the bronchial artery.
血管外皮细胞瘤很少起源于肺。英文文献中仅报道了63例,日文文献中报道了30例。本文介绍了一名38岁女性。该患者无症状,通过常规检查发现左中叶有一个硬币大小的病灶。她接受了肿瘤切除术,已存活5年且状况良好。1) 血管外皮细胞瘤与其他几种肿瘤的鉴别诊断通常很困难,因为周细胞在光学显微镜下没有明显特征。因此,强调电子显微镜研究对于确诊该肿瘤是必不可少的。2) 以前的文献中未描述过在光学显微镜下具有特征性鹿角状外观的血管的起源。该病例的支气管动脉造影显示肿瘤血管主要起源于支气管动脉。